B.Sc. Optometry Admission 2026

Student Registration Form

Application Form

Personal Information

Profile Image

Applicant's Signature

Name of the Candidate

Date of Birth

Gender

Nationality

Permanent Address

Current Address (if different)

Name of Parent/Guardian

Mobile Number

Home Number

Educational Qualifications

Name of Course	Name of Board/University	Year of Passing	Marks in Physics	Marks in Chemistry	Marks in Biology	Percentage/Grade Obtained

NRI:

Yes

(Centralised Allotment Process Registration No.)

Required Supporting Documents

Copy of Birth Certificate / Proof of Date of Birth

Attested Copies of SSLC (10th) and Higher Secondary (12th) Mark Sheets(Combined PDF)

Original Transfer Certificate (TC)

Migration Certificate (Applicable for Students from Other Boards/States)

Centralised Allotment Process (CAP) Registration Proof

Copy of Aadhar Card

Recent Passport-size Photographs (5 Nos.)

NRI Documents as per Government Order No. 375/2020/H&FWD (For NRI Applicants Only)

Declaration & Consent

I hereby declare that the information provided in this application form is true and correct to the best of my knowledge. I understand that any false information, suppression of facts, or submission of incorrect documents may lead to cancellation of my application or admission.

✓ I have read and understood the declaration above.

I hereby declare that the information provided in this application form is true and correct to the best of my knowledge. I understand that any false information may lead to disqualification from the admission process.

For any further details, please contact: The Principal, Chaithanya Institute of Optometry & Vision Sciences Chaithanya Eye Hospital Complex Kesavadasapuram, Thiruvananthapuram – 695 004
Contact Number: 9895499953
Email: info@chaithanyafoundation.org
Important:
Last Date for submission: will update soon