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).