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To schedule your testing center you have to do it with Prometric not ECFMG. This is of course after you get your scheduling permit from ECFMG.

If you have already scheduled your testing center then give Prometric a call and ask them to change the testing region.
Their Middle East telephone number is 31 320 239 530

You can also do that online:
Go to this page
http://securereg3.prometric.com/Dispatch.aspx
Then choose the testing center that you have already scheduled with and then follow the steps on "rescheduline" your exam. If you reschedule 2 weeks before the exam date there will be no fees but if you reschedule by short notice then they'll charge you $50-$150 depending on various factors.

See this thread for example
http://www.usmle-forums.com/ecfmg-forum/405-tranfer-testing-region-india-us.html

If you have not scheduled your exam center yet then I suggest you wait until you are 100% sure where you are going to take the exam then schedule it using this site
http://www.prometric.com/USMLE/default.htm

Let me know if I did not answer your question
 
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