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Cases of irregularities in these entrance tests had been reported since the mid-1990s, and the first FIR was filed in 2000.
However, until 2009, such cases were not thought to be part of an organized ring.
The scam involved a collusion of undeserving candidates, who bribed politicians and MPPEB officials through middlemen, to get high ranks in these entrance tests.
The scam also led to between 23 and 40 'unnatural' deaths of involved individuals, though unofficial figures run well into more than a 100 custodial deaths including the erstwhile MP Governor's son and deaths in staged road accidents..
This was done in collusion with the corrupt board officials.
It was suspected that the application forms were being destroyed so that they could not be compared to exam admit cards and other records.
The photograph on the candidate's admit card was replaced by the impersonator's photograph.
After the exam, it was changed back to the original.
These included the state's ex-education minister Laxmikant Sharma and over a hundred other politicians.
In July 2015, the Supreme Court of India issued an order to transfer the case to the country's premier investigating agency, the Central Bureau of Investigation (CBI).
Madhya Pradesh Professional Examination Board (MPPEB), popularly known by its Hindi acronym "Vyapam" (Vyavsayik Pariksha Mandal), is a self-financed and autonomous body incorporated by the State government responsible for conducting several entrance tests in the state .