x Candidates taking 'Basic Sciences Examination (Ophthalmology)' are not mandatory to fill-in this form. Please click here to apply for Basic Sciences Examination (Ophthalmology).
x

Fill-in this form if you are applying for entry into

  • Medical Officer in Eye Department OR
  • Formal Training Program OR
  • Logbook for NSR Application OR
  • Sub-specialty Training Program OR
  • Maintenance of Professional Logbook OR
  • as a Supervisor
Approved registration will allow you to have your own login account for you to manage your own logbook record online. You may also submit your logbook online to your registered supervisor. If you are already registered under NOTeD, please sign in first before applying for the above entry.
Create Login
Note: Email notification will be sent to this registered email address.
Personal Details
Select PhotoChange Remove Note: Passport sized photo must be jpg / jpeg / png format only
   
(eg: 03-98765432)
(eg: 0198765432)
Purpose of Submission
           
Professional Qualifications
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No. Qualification Type Specify qualification (e.g: Bachelor of Medicine, MBBS, MD, etc) University / Institution Year of Graduation Certificate (Upload certificate in PDF Format only)  
Posting
Note: Kindly specify your postings since housemanship
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No. University / Institution Date From Date To Supervisor's Full Name (1) Supervisor's Full Name (2)  
Payment
A Registration Fee of RM 200 applies for this registration.
Account name: COLLEGE OF OPHTHALMOLOGISTS, ACADEMY OF MEDICINE OF MALAYSIA
Account number: Current account (753-300-010-3)
Bank: UOB Bank (UNITED OVERSEAS BANK)
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Note: Upload copy of payment slip in PDF Format only
Declaration