Since I was so confused during the process of application for USMLE step 1 exam, I thought I should note down the step by step procedure for IMG graduates : 1. Get ECFMG ID. Log into ECFMG website and create an account with basic info. Then you will be mailed ECFMG /USMLE ID in 3-5 days. 2. Application for ECFMG certification. At this point, you will be asked to pay 125$. You will get the form 186 to download as soon as you make the payment. 3. Get your passport ready. You will be asked to notarise the form 186 via notarycam. The procedures are well mentioned in the website. You need to upload the first page of form 186 and copy of your passport in the notarycam website. You will be asked to get an appointment for notarycam after you upload these documents. 4. Notarycam personnel will fix an appointment as per your convenience. Keep your passport handy. It will last for 3-4 minutes. It is very simple step. The personnel will verify the passport and your basic informati...