FEBOS-R Exam 2024- Application Form |

General Candidate Information

Title:

Name

First

Last

Address:

Confirm Email

confirm email address

Phone Number: (including country code)

Gender:

Date of Birth:

City:

Country of Qualification:

Current Workplace:

Years working there?

Years working as a retina specialist?

Do you currently have permanent authorisation to work in a UEMS member or associate member country? (Those who do not will be awarded a Certificate of Achievement on passing the exam)

Yes

Fellowship Details (If applying as a current fellow, or with completed fellowship)

Fellowship Centre

City of Fellowship Centre

Beginning of Fellowship Date

Current Position

Current Centre (Institution)

Current Centre Chair Name

Current Centre Chair Email Address

Required documents for submission

Photo

Maximum file size: 268.44MB

CV in format required

Maximum file size: 268.44MB

Letter of recommendation from programme chair / clinical director/ administrative director at the applicant’s workplace

Maximum file size: 268.44MB

FEBOS-R Exam 2024- Application Form

General Candidate Information

Medical And Ophthalmology Certification

Fellowship Details (If applying as a current fellow, or with completed fellowship)

Required documents for submission

Total Fee: €550 - Proceed to make Payment

European Board of Ophthalmology