International Student Application Form

Application for Admission to OU Campus courses – We thank you for starting your journey with OftalmoUniversity. All fields in this form are compulsory. If some are not applicable, please do type in as Not Applicable.

Instructions for filling in the Application Form

Step 1: Fill in the details

Enter all relevant details carefully. Data Once Submitted can not be changed. So please take a look before the final Submission. The Form has 4 sections. ALL SECTIONS must be completed before pressing the Apply Button.

Step 2: Confirmation of Submission

Press the Apply Button
After the Successful Submission of the Application Form, you will get a confirmation message on the screen.

    Section I - PERSONAL INFORMATION








    Your Email









    Level of English (Spoken)


    1 - Didn't understand English / 5 - Completely understand English



    Level of English (Written)


    1 - Can't write in English / 5 - Natural written English



    Gender
    MaleFemaleOther



    Marital Status
    SingleMarriedDivorcedOther



    Do you suffer from any medical condition/disability that may affect your studies?
    If yes, please specify from the following

    HearingMobilityVisual (Stereopsis)MedicalOtherNONE



    How did you hear about us?

    Print / NewspaperWord of MouthGoogle or other Search enginesSocial NetworksWebinarsOther





    Section II - EDUCATIONAL and PROFESSIONAL BACKGROUND



    Highest Level of Education Achieved




    Medicine School - Year of Graduation




    Residency - Year of Graduation




    Fellowship - Year of Graduation




    Have you received any recognition, citation, or awards during academic formation or professional life?

    Please describe them.



    Years working as an ophthalmologist




    Number of Phaco Cataract Surgery performed




    Number of MSICs Cataract Surgery performed




    Number of EECC Cataract Surgery performed




    Which of the courses are you interested in:

    Phaco Basic SkillsPhaco Advanced SkillsComplex Cases / Complication managementPremium IOLs / IOLs Calculation





    Section III - SKILLS and STRENGHTS



    How good you are at Reading Scientific Papers


    1 - Bad / 5 - Good



    How good you are at Writing Scientific Papers


    1 - Bad / 5 - Good



    How good you are at Interpreting Statistics


    1 - Bad / 5 - Good



    How good you are at Critical Thinking


    1 - Bad / 5 - Good



    How good you are at Meeting Deadlines


    1 - Bad / 5 - Good



    How good you are at Manual Dexterity


    1 - Bad / 5 - Good



    How good you are at Teamwork


    1 - Bad / 5 - Good



    How good you are at Public Speaking


    1 - Bad / 5 - Good



    How good you are at Managing Time


    1 - Bad / 5 - Good



    How good you are at Problem Solving


    1 - Bad / 5 - Good



    How good you are at Thinking Outside the Box


    1 - Bad / 5 - Good





    SECTION IV - FINAL DECLARATION



    By hitting the "APPLY" button, I hereby declare that I have provided accurate information in this form myself (the student applicant).