Application Form
OIC-COMSTECH and Al Shifa Trust Eye Hospital Conference Date 10-11 November, 2026.
Email-1
example@example.com
Submission Date
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Note: Submit Application form in English language Only (Mandatory)
1- Kindly Mention, What are you Applying for?
*
Please Select
Full Degree Program for Undergraduate
Full Degree Program for MS / MPhil
Full Degree Program for PhD
Research Fellowship
Short Term Training
1- Specify Degree Program / Area of Interest
*
1- Full Name
*
Full Name, as per passport
2- Nationality
*
3- Gender
*
Please Select
Male
Female
Other
4- WhatsApp Number
*
5- Current Country of Residence
*
6- Religion
*
7- Email
*
example@example.com
8- Date of birth
*
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Day
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Month
Year
2 digit day, 2 digit month, 4 digit year
9- Passport / NIC number
*
11- Expiry Date (Passport / NIC)
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
12- Marital status
*
Please Select
Single
Married
Divorced
Widowed
13- Number of children (if any)
*
14- Current address
*
15a- Details of education (Please state your Highest degree, institution, grade),
*
15b- Upload clear scan of Transcripts / Degrees
*
Upload
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Choose a file
All Transcripts/ Degrees shall be uploaded as one file in .pdf or .jpg formats only. File size must not exceed 2MB.
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16- Details of any previous visits abroad
*
0/100
17- English language proficiency level (tick the relevant)
*
Please Select
Beginner
Intermediate
Proficient
18a- Medical fitness
*
*Declare any medical condition you have (this will not affect the outcome of your application.
18b- Medical fitness
*
*Declare if you are expecting a child.
19- Current/previous employment
*Name of the organization/employer and your Job description
20- Why do you want to avail this fellowship/training program and why are you a good fit, if applicable? (at least 200 words)
0/200
21- What are your research/training objectives? Please write details of the research/training you wish to conduct, if applicable (at least 200 words)
0/200
22- Scan of one recommendation letter (current/most recent Institution)
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The file should be in .pdf or .jpg format only. File size must not exceed 300kb
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23- Upload Clear scan of passport / NIC
*
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Choose a file
The file should be in .pdf or .jpg format only. File size must not exceed 300kb
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of
10- A detailed CV enlisting all educational/professional activities, research publications and a clear picture, from not more than 6 months ago.
*
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The file should be in .pdf format only. File size must not exceed 500kb
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25- Do you want to submit an abstract for poster display?
YES
NO
File Upload
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11- Want to attend preconference & Conference
*
Please Select
- in Person
- Online
Declaration
*
By signing this form, you acknowledge that all the information provided is true, and agree to comply with all terms and conditions of this fellowship.
Submit
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