Application Form for

Fellow All India Collegium of Ophthalmology (FAICO) of

All India Ophthalmological Society Affix a self-attested
[To be filled in capital Letters] passport size
Www.aios.in [Filling of all Columns Essential] photograph
AIOS Membership No.

Applicant Name

......................................................... ................................................................
(Surname) (First Name)
Father’s Name / Husband’s Name

......................................................... ................................................................
(Surname) (First Name)
Date of Birth (DD -MM - YYYY) Sex (M / F)

Address (correspondence) in block letters...............................................................................................

.............................................................................................................................................................

City.........................................Pin Code.............................. State........................................................

Telephone................................. Mobile......................................Email ID:............................................

Basic Qualifications in Ophthalmology: Any other Recognized Foreign Qualification :

DO: DNB: MD: MS:

Medical Council Registration: State ........................................ Registration No.............................

Work Experience: (Minimum 1 year experience is must after PG qualification) - No. of Years
Attach Certificate of Employer

Apply for Fellowship (See Instructions before filling)

1. FAICO (Glaucoma) 6. FAICO (Uvea )
2. FAICO (Retina & Vitreous) 7. FAICO (Cataract / Phaco)
3. FAICO (Cornea) 8. FAICO (Pediatric Ophthalmology & Strabismus)
4. FAICO (Comprehensive Ophthalmology) 9. FAICO (Oculoplastic Surgery)
5. FAICO (Refractive Surgery)
Examination Centre Preference * – (Put your preference- 1 to 4) ( 1 : 1st Choice ..............4 : Last Choice)
New Delhi Mumbai Kolkata Chennai
*(More Centres likely to be added later)
Declaration : I hereby declare that the above details are correct. I have carefully read the instructions
overleaf. I shall abide by the Rules, Regulation & Bye-Laws of the Society as in force and any subsequent
amendment(s) made from time to time

I enclose Bank Draft No..............................Dated................. Bank..............................................

for Rs.................................. (Rupees........................................................................)

Date:_______________ Signature of Applicant___________________

For Official Use only:

Application NO: Whether Approved: Receipt No:. Date:

 INSTRUCTIONS

1. The Society reserves all rights to accept or reject any application

2.The Form should be filled completely in capital letters only

3. Payment should be made through Bank Draft only.

4. Documents to be attached with application form:

1. Copy of Degree (MBBS / MD/DNB/etc.)
2. Medical Council Certificate
3. One Coloured Photograph to be pasted on the Application Form
4.DD for Rs. 5000/-( per speciality ) in favour of “All India Ophthalmological Society”
payable at Delhi / New Delhi.
5. Experience Certificate

5. Address for sending Application:

Dr. Lalit Verma

Hony. General Secretary
Room No. 111 (OPD Block), 1st Floor,
Dr. R.P.Centre, AIIMS, Ansari Nagar, New Delhi-110029 (India)
Phone: 011- 26588327
Email: aiossecreteriate@yahoo.co.in, lalitverma@yahoo.com
 AIOS – Collegium
Fellow All India Collegium of Ophthalmology (FAICO)
to be awarded by All India Ophthalmological Society
With the aim of encouraging academics and standardization of Knowledge & Skills in Ophthalmic Sciences and
its specialized branches, All India Ophthalmological Society (AIOS) is pleased to launch certification of
Super-Speciality in Ophthalmology:
(As per General Body Decision on 23rd January 2010 at Kolkata )
Fellow All India Collegium of Ophthalmology (FAICO)
Eligibility:
Basic Qualification in Ophthalmology
DO/DNB/MD/MS / Any recognized foreign qualification
Plus 2 years Experience after Diploma (DO) & 1 year Experience after MD/MS/ DNB
Fellowship Awarded after Certifying Examination
1. FAICO (Glaucoma) 6. FAICO (Uvea )
2. FAICO (Retina & Vitreous) 7. FAICO (Cataract / Phaco)
3. FAICO (Cornea) 8. FAICO (Pediatric Ophthalmology & Strabismus)
4. FAICO (Comprehensive Ophthalmology) 9. FAICO (Oculoplastic Surgery)
5. FAICO (Refractive Surgery)
Examination Process:
st
1 Stage: One Hour online Exam (Theory): MCQ (60 Questions) – Pass Marks: 70 %
2nd Stage: OSCE- Cut off 50 % 3rd Stage: Viva
First 7 Centres – each with Speciality Expertise
Venue – Designated Centres of AIOS
New Delhi, Mumbai, Kolkata, Pune ,Bangalore, Chennai and Hyderabad
If a candidate passes Stage -I, but is unable to qualify in Stages 2 & 3: that candidate can
take next consecutive chance for Stages 2 & 3 without having to write stage 1 again.
Date for on-line Exam: (Theory)
Important Dates to remember
Particulars Dates
Date of commencement of filling in online application form 1st September 2010
Last date for filling in online application form 31st October 2010
Last date for receipt of completed and signed print out of online application form 15th November 2010
Online written test (10.00 am to 12.00 noon) 1st December 2010
Declaration of written test result (www.aios.org) 7th December 2010
OSCE / Viva / Certification 15 - 20 December 2010
Declaration of list of certified candidates 31st December 2010

Type of Questions: Date for OSCE and Viva – 15 days after online Exam.
1.Must know : 50% 2.Moderate : 25 % Examiners (Two): Local - 1 - External - 1
3.Hard : 25 % No Negative marking
Examination Fee:
Rs. 5000/- per candidate per exam
(DD in favour of All India Ophthalmological Society, payable at New Delhi
Option for online Payment is also available)
For Details Contact:
Prof (Dr.) RajvardhanAzad Dr. Lalit Verma
President, AIOS Hony. General Secretary, AIOS
AIOS Office: Room No. 111, OPD, Block, Dr. R.P. Centre, AIIMS, Ansari Nagar, New Delhi -110029,
Tel: 011-26588327 Visit: www.aios.org