Bhaktapur Eye Institute : Apply Online Name * Name First First Last Last Father's Name * Father's Name First First Last Last Date of Birth (YYYY-MM-DD) * Sex * Male Female Transgender Marital Status * Single Married Others Permanent Address * Temporary Address Phone/Mobile No. * Email Acadmic Qualifications * SLC/SEE Pass Intermediate Level Bachelor Level or above SLC/SEE Pass Year (B.S) * Name of School * SLC Pecentage/GPA * Professional Experience Payment of Fee * Self Financing Sponsored If Sponsoring by Organization, Name and Address of organization From Where did you get information about this course * Choose One Social Media Website By Eye Care Professionals Others If you know about this course from eye care professionals please provide us name If you know about this course from eye care professionals please provide us name First First Last Last Declaration: I declare that the information provided in this application is correct and complete. I verify the above entry is correct and complete. reCAPTCHA If you are human, leave this field blank. Submit