Sandra, you haven't mentioned your Category. Nevertheless, there are 3 Categories in Private Medical Colleges. Category A is the Government Quota Seats. And only candidates of the home State are eligible to apply for these seats. Here you will need 500 atleast if you belong to General Category. B Category seats are also called Management Quota Seats and they are filled through State Counselling and here you might require 400 atleast and the remaining seats are filled through direct Admissions by contacting the College directly provided the Candidate has registered for the respective State Counselling and has not been able to secure a seat in the Counselling. Here the fees is usually nothing less than 40 lakhs. The last Category is NRI seats Category and you cannot apply for that. So with 281, it is difficult for a seat in Counselling.