Alcon Experience Center

1

Basic details

Contact information for correspondence about the training program.

Full name

Registration number

Phone / WhatsApp number

Email

Address

2

Program & schedule

Choose the program and your preferred training date.

Program

Phacoemulsification ExcellenceAdvanced Diagnostics & Refractive SurgeryVitreo-Retina SpecializationPremedical Staff Development ProgramPractice Development Program

Preferred training date

Each session runs for 2 consecutive days. Select the first day — the second day follows immediately after.

3

Declarations

I hereby declare that all the information given in this form is true and accurate.I hereby confirm that I will attend the entire duration of the training program.