Online Examination System 
 
Student Registration for ICO Basic Sciences 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 : ,
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?  
 





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