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Subspecialty Exam in Strabismus and Paediatric Ophthalmology – Application Form

Subspecialty Exam in Strabismus and Paediatric Ophthalmology

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Name

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Gender

Nationality

Work Address:

City:

Work Address Country:

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Phone Number: (including country code)

Date of Birth:

Are you a citizen of one of the UEMS (member) associated countries?

Yes

Which UEMS country?

Did you complete your Ophthalmology Residency training in one of the UEMS Countries?

Yes

If so, which UEMS country?

How many years of Residency did you complete?

Do you have a FEBO Diploma?

Yes

If yes, in which year?

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