Postgraduate Students
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Eligibility
Who Can Apply
Postgraduate students
Clinical fellows of ophthalmology
Final year optometry student
Optometry fellows
Instructions for filling and submitting the form
1. The details should be typed and not hand written. 2. The form must be accompanied with relevant supporting documents, must Contain a) Copy of your student ID; and b) recommendation letter from the head of department on institution’s letter head
3. The forms can be submitted before the stipulated deadline via e mail to: [email protected] with a subject line “ Application for Travel Fellowship” or posted to the VISION 2020 – INDIA office:
Mrinal Ray Madhaw
Programme Manager
VISION 2020: The Right to Sight – INDIA
D-21, Corporate Park, 2nd floor,
Sector-21, near Sector 8 Metro Station
Dwarka, New Delhi – 110 078
Tel: 011 - 6565 0577 VISION 2020: The Right to Sight- INDIA
Application for travel fellowship
1. Name of the Candidate: ......
2. Name of the Institution:......
3. Qualification obtained:......
4. Currently pursuing degree/diploma ......
5. Mobile number:......
6. E mail id:......
7. Give a brief overview of your Institution ( Max 100 words)
8. Please describe your area of interest (Max 100 words) 9. Please describe the benefits likely to be derived from attending the conference ( Max 100 words)
10. Workshop/ Seminars already attended
11. How did you come to know about this fellowship:
Signature :
Name :
Date : Detail of attached supportive documents:
Copy of Student ID Letter of recommendation from head of the department (Course you are pursuing at present, should be clearly mentioned)
Note:
The selected candidate will receive reimbursement (subject to a maximum of Rs.4500/-) by cheque in favour of the candidate only after he/she attended the conference. 12. Name of the Candidate: ......
13. Name of the Institution:......
14. Qualification obtained:......
15. Currently pursuing degree:......
16. Mobile number:......
17. E mail id:......
18. Give a brief overview of your Institution ( Max 100 words)
19. Please describe your area of interest (Max 100 words)
20. Please describe the benefits likely to be derived from attending the conference ( Max 100 words) 21. Workshop/ Seminars already attended along with from and to date
22. How did you come to know about this fellowship:
Signature :
Name :
Date :
Detail of attached supportive documents:
Copy of Student ID Letter of recommendation from head of the department (Course you are pursuing at present, should be clearly mentioned)
Note:
The selected candidate will receive reimbursement (subject to a maximum of Rs.4500/-) by cheque in favour of the candidate only after he/she attended the conference.