<%OPTION EXPLICIT%> MVUPGO : Registration Page <% if Request.QueryString("courseid")="" OR Len(Request.QueryString("courseid"))>2 then %>

Sorry. No course was selected.

<% else %>
Online Examination System 
Student Registration for <%= retCourseName(Request.QueryString("courseid")) %> course

Enroll yourself into the MVUPGO students database! Fill up the form below and click the button at the end of the form.
*Please create a g mail address with your fist name exclusively for this course as shown.
Your first name-mvupgo@gmail.com
eg, muthusamy-mvupgo@gmail.com
All my students must have mvupgo in their e mail address.

You have to fill in ALL of the fields.

Exams you would like to appear for and when :
Fullname :
Address me as : *
  * I address all my students by the first name. How would you like me to address you?

Technical Information - the following information is needed to enable you to access www.MVUPGO.com. Please use an easy-to-remember username and password.
Username : (no spaces)
Password :      Confirm Password :
Email :

Sex : Male       Female
Race :
Date of Birth : <% Dim boolCallFun %> ,
Degree :          Year of Graduation :
College / University :
Academic Medals & Prizes Received :
Place of Work :
Postal Address :
Experience in Ophthalmology :
Ophthalmology exams you have written and you have passed (with dates). :
Marital Status   : (If married, please state educational status and current occupation of spouse)

How fluent in English is your spouse (if married):   :
Children / Age
(eg John / 10)
Any doctors in the family? :
Any specialist in the family? :
Parents' Occupation  
Goals And Aspirations  
How did you know about this course?  

<% end if %>