Fellowship & Residency
Application Form

Take the next step in your clinical career. Apply for our advanced fellowship programme in vision therapy and neuro-optometric rehabilitation - led by COVD/OVDRA Fellow & Member specialists.

Advanced Clinical Training

COVD-Aligned Curriculum

Expert Mentorship

Personal Information

Full Name *

Gender *

Date of Birth *

Phone Number *

Email ID *

Languages Known

Address for Communication *

Academic Qualification

Name of Course	College / University	Year of Completion	Percentage / CGPA

Professional Experience

Place of Work	Position / Nature of Work	Duration

Research Project / Publication (if any)

Motivation to Pursue Fellowship / Residency

Briefly explain why you wish to join this programme and what you hope to achieve.

Enclosures (Attach Photocopies)

Attach your supporting documents below - they will be sent directly with your email submission. Accepted formats: PDF, DOC, DOCX, JPG, PNG — maximum 10 MB per file.

Degree Certificates *

Internship Completion Certificate

Updated CV *

Any Other Relevant Documents

Declaration

I, , hereby declare that the information provided above is true to the best of my knowledge and belief. I understand that any false information may lead to cancellation of my application.

Date *

Place *

Clicking Submit Application sends your full application with documents to caringvisiontherapy@gmail.com, then opens WhatsApp with your basic details.

Fellowship & Residency Application Form