Welcome to Optical Association India

Registeration

FILL THE FORM TO BECOME MEMBER

Mobile No*:

Email ID:

Name*

DOB

Last Educational Qualification: (Attach Self Attested Copy)

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Years of Experience in Optical Industry:

Firm Name*:

Address*:

state:

city:

Password*:

Details of Optometry / Ophthalmic Assistant / Ophthalmology Education: (Attach self attested Degree/Diploma certificate)

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Name of the Passing Institute:

Year of Passing:

Degree/Diploma:

Term of Degree/Diploma:

Specialty if any?:

Vat No.

GST No.

VAT No / GSTN No: (Attach self attested Certificate)

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Company Pan No.

Personal Pan No.

Company Pan No / Personal Pan No: (Attach self attested Certificate)

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Personal Adhaar No.

Personal Adhaar No: (Attach self attested Certificate)

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Involved in following Activities

Description of Practice

Brand Details:

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Registeration

FILL THE FORM TO BECOME MEMBER

Last Educational Qualification: (Attach Self Attested Copy)

Details of Optometry / Ophthalmic Assistant / Ophthalmology Education: (Attach self attested Degree/Diploma certificate)

VAT No / GSTN No: (Attach self attested Certificate)

Company Pan No / Personal Pan No: (Attach self attested Certificate)

Personal Adhaar No: (Attach self attested Certificate)

Involved in following Activities

Description of Practice

Brand Details: