A nexus of politicians, MPPEB officials and middlemen carried out massive irregularities in these exams, allowing undeserving candidates to be selected.

He was born in a small village Mahendragaon in Harda district of Madhya Pradesh to the family of a school teacher.

[2] He became suspicious in 2005 when he attended his MD exams and found that many of the top qualified students were from the same hostel block.

According to him, he saw a junior doctor Deepak Yadav and others manipulating medical exam forms, which made him suspect a scam.

In 2008, he met his batchmate Jadgish Sagar (later found to be the kingpin of the Vyapam scam) at the wedding of a common friend.

When he did not return for a long time, Rai opened the suitcase to look for Sagar's contact information.