EUNOS European Neuro-Ophthalmological Society

INOSInternational Neuro-Ophthalmology Society

NANOSNorth American Neuro-Ophthalmology Society

NOSANeuro-Ophthalmology Society of Australia

ANZAN (AUS & NZ)Australian & New Zealand Association of Neurologists

AAN (USA)American Academy of Neurology

ABN (UK)Association of British Neurologists

RANZCORoyal Australian & New Zealand College of Ophthalmologists

ARVOAssociation for Research in Vision and Ophthalmology

ECVPEuropean Conference on Visual Perception

ISCEVInternational Society for Clinical Electrophysiology of Vision

SFNSociety For Neuroscience

Vision ScienceAn Internet Resource for Research in Human and Animal Vision

VSSVision Sciences Society

NOVELThe Neuro-Ophthalmology Virtual Education Library

 
Investigator Details
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Personal Information
Title:
First Name: *
Middle Name:
Surname: *
Qualifications: *
Mobile Phone: *
Email *
   

Appointments
Institution 1 - Main place of work (This should be the place where you would like us to contact you whenever necessary)
Name of institution: *
Name of Department: *
Position held: *
Address: *
Suburb: *
State: *
Postcode: *
Country: *
Telephone: *
Fax:
Email:
   

Is postal Address Different:
Address:
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Institution 2 - secondary affiliation
Name of institution:
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Position held:
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Other Institution
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Position held:
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Areas of Clinical Interest
Neurology:

Ophthalmology:
Neuro-ophthalmology:
Other:

Research Interest click here...
Active, ongoing research projects:    
Key words:

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Other areas of potential Interest:

Relevant Publications   click here...
 

Existing collaborations

Facilities
Space available:
Equipment Available:
Research Staff in department:
Technical Staff in department:

Clinical (please provide the day and time of the clinic during the week, and the contact details for the purposes of referral)
Neurology clinic(s):
ophthalmology clinic(s):
specific neuro-ophthalmology clinic(s):
other specialist clinic(s):

Potential Post Graduate Attachment
Do you currently have one or more PhD student(s) working with you?
 
if not, could you supervise and accomodate a PhD student?*
  Yes No
Do you currently have one or more fellows in neuro-ophthalmology working with you?
 
if not, could you supervise and accomodate a neuro-ophthalmology fellow?*
  Yes No

Referees
Name of 1st Referee:
E-mail of 1st Referee:
Name of 2nd Referee:
E-mail of 2nd Referee:
 
   
 
 
 

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