To make the student a competent eye care professional who will be part. of the eye care team and actively participate in the co-management of

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1 Masters Degree in Optometry (M.Optom) Course Objectives To make the student a competent eye care professional who will be part of the eye care team and actively participate in the co-management of eye disorders along with Ophthalmologists To assist the student in acquiring in-depth knowledge in various sub specialities of Optometry To introduce new and more precise techniques into the investigation and correction of vision related problems in patients To take up India centric research in specialised fields of vision care like community eye care, Occupational Optometry, sports vision, paediatric and geriatric eye disorders Highlights of the programme Expert faculty who are renowned professionals in the field of Ophthalmology / Optometry State-of-the-art clinics / labs Focus on Clinical Teaching/Training Intensive Hands-on Learning Access to world class library Attending CME / Grand rounds Reading assignments, Case report writing, Journal reading Submitting papers of publishable quality Conferences/ Seminars / Workshops Course Details Eligibility Under graduate degree in Optometry from any recognised University

2 Duration Commencement Mode of selection Application process 2 years full time (Annual Pattern) October 1 st Written test, Skill based evaluation, Personal Interview Application form can be obtained in person or can be downloaded from the website. Duly completed form can be submitted along with processing fee of Rs. 1,500/- by Cash/ DD in favour of Medical Research Foundation payable at Chennai Course Fee Rs. 1,50,000/- per year No of seats : 15 Affiliation : Tamil Nadu Dr. MGR Medical University Career Scope Eye hospitals in public and private sector Medical / Eye Research Institutes Academic Institutions Hospital Administration Optical Instruments / Retail industry Can pursue a career as an Entrepreneur / Freelancer Last date for document submission Last date for submission of application 30 th June Entrance test - 3 rd week of July (will be updated on website and intimated through ) Will be followed by Skill based evaluation and Personal Interview Shortlisted candidates will be intimated through .

3 Documents needed during admission: i) Degree Provisional Certificate ii) iii) iv) Degree Certificate Transfer Certificate Migration Certificate v) Eligibility Certificate (to be issued by Medical University) vi) Fees in DD Note : Candidates are advised to keep these documents ready to avoid delays in admission registration Kindly address your queries to: The Head of the Department, Optometry Education The Sankara Nethralaya Academy (Unit of Medical Research Foundation) No.9, Vanagaram to Ambattur Road Ayanambakkam, Chennai Ph: anujar@snmail.org

4 THE SANKARA NETHRALAYA ACADEMY (Unit of Medical Research Foundation) City / Hospital Campus New No.41, Old No:18, College Road, Nungambakkam, Chennai Ph No Vanagaram / Academic Campus No.9, Vanagaram Ambattur Road, Ayanambakkam, Chennai Ph: snacademy@snmail.org APPLICATION FORM FOR UG / PG COURSES Registration Details: (To be filled by TSNA official) Registration Date: Remarks: Registration No: Registration in-charge (Sign) Student s Recent Colour Photograph Course Applied for Name of the Applicant with initials (as in +2 Mark Sheet in BLOCK letters) Expansion of Initials Gender (Please tick) Male Female Neutral Place of Birth Date of Birth D D M M Y Y Y Y Nationality Religion Community Address for Communication Blood Group Pin Code ID Phone with STD Code Mobile No Aadhaar (UAID) No

5 Parent Name Name of Guardian (If student not staying with parents) Parent/Guardian Address for Communication (If different from above) Pin Code ID Phone with STD Code Mobile No Details of Educational Qualifications Course Studied Major Subjects Month & Year of Passing Name of the School / College / University Medium Aggregate % Marks /Class SSLC/ 10 th Std Hr. Sc. /12 th Std Under Graduate Post Graduate (Enclose Attested copies of SSLC/Hr. Secondary certificates and UG Provisional Certificates or Degree Certificates.) Transfer Certificate Details (Mandatory for all courses) Issuing Institution Eligibility Certificate Details (If applicable) Issuing University Migration Certificate Details (If applicable) Issuing Institution Community Certificate Details (If applicable) Issuing Location

6 Language Proficiency (Tick appropriately) Language (Specify) Mother Tongue English Additional To Speak To Read To Write Have you attended any Education Programme at Sankara Nethralaya? Period Course Attended From Date To Date Additional Courses and Programmes Attended, if any, Other than the above Course Description Organized by Duration Miscellaneous: Do you require hostel accommodation? Do you require transport facility? Do you require SN Scholarship? Yes / No Yes / No Yes / No Other Sources of funding (Please tick) Own External Sponsorship External Scholarship Bank Loan Others References: 1. 2.

7 Registration Fee Payment Details Mode of payment: Cash/DD/Online DD No. /Ref.No: Date: Rs. Bank: Note: 1. Registration fee is payable while submitting filled in applications 2. Registration fee is not refundable 3. Candidate should write his / her name on the reverse of the Demand Draft Declaration I hereby declare that the particulars given above are true to the best of my knowledge. If any of the particulars furnished are later found to be false, I agree to forfeit my admission without claiming any refund. We assure strict adherence to TSNA s regulations in total after admission. Irrespective of our sources of funding, we undertake responsibility to pay all prescribed fees on or before the scheduled dates. Date: Place: Signature of the Candidate Signature of Parent / Guardian Enclosures: Note: Attested photocopies of the following should be enclosed along with the application form 1. SSLC, HSC, Degree Certificates(for PG applications) 2. Community certificate, Transfer certificate, Migration certificate, Eligibility certificate (as applicable) 3. Proof of attainments, if any, in extracurricular activities and other training undergone 4. Two passport size photographs (recent) 5. Copy of Aadhar Card 6. DD drawn in favour of Medical Research Foundation Payable at Chennai towards Registration Fees (or) Copy of acknowledgement in the case of on-line payment 7. Professional experience certificate from the organization (if any) Filled in application form with enclosures to be forwarded to: The Academic Officer The Sankara Nethralaya Academy No.9, Vanagaram Ambattur Road Ayanambakkam, Chennai Tamil Nadu, India Ph:

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