Application for Practical (virtual) Optical Dispensing Course-MY221 - PvODC-My221
You are applying for a VIRTUAL version of the practical optical dispensing course. Please go through each and every point carefully and fill the form.
Email address *
Application for Practical Optical Dispensing Course (PvODC) - My221
Full name of the applicant *
Contact number *
I accept that I wouldn't be eligible to get the certificate of PvODC, if I have not acquired B.Optom (regular mode) certificate, before the start of the course. *
I understand that all the classes would happen online and I would equip with the basic material needed while I attend the session to follow the online/live classes. *
I would bring Geneva Lens Measure, PD rule, layout chart, pen-torch, single vision, bifocal and progressive addition lenses and frames while the sessions are been conducted.
Year of Completion of B S Optometry *
Name of the School or college of Optometry graduated from *
Is the school or college graduated from, is a member of Association of Schools and Colleges of Optometry in India? *
Any higher education in Optometry? ( If Yes, please mention) Please do not mention the details of the conferences attended *
If clicked Yes, for the above option. Give details *
Work positions handled from first job to till date (Mention only company name and the position) *
Work place during the course (from May to Aug 2021) *
Did you go through the 'content' of the course?. If 'Not', Please go through. *
I accept to pay a sum of 6000 INR for the course through the LVPEI shared link. *
Attending the online classes is mandatory and certificate would not be provided if remained absent for any reason. (Is the applicant ready for it?) *
50% marks are mandatory to consider as PASS and to provide with a certificate. Is the applicant ready. *
The fee, once paid is non-refundable and non-transferable, irrespective of the outcome of the result (Pass/fail). I accept it. *
I abide by the decision taken by the Brien Holden Institute of Optometry & Vision Sciences, L V Prasad Eye Institute, Hyderabad, India, with regards to the course, content and participants and any changes made during the course. *
* It is the candidate lookout regarding the technicalities and internet connection for online lectures. However, we would give the configuration required. We recommend to use laptop or PC instead of mobile phones.
Thank you for filling the form. We would get back to you. Practical (virtual) Optical Dispensing Course - My221 (PvODC-My221) Team, LVPEI-BHIOVS & BHVI
A copy of your responses will be emailed to the address you provided.
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