Hands on 2026

Complete the registration form below to submit your application for the Hands-On Experience at the Zaldivar Course 2026.

Please note that places are limited and all applications are reviewed by the Teaching Committee prior to acceptance.
Submitting this form does not guarantee participation.

Your email*

Full name*

Country*

District/State*

Curriculum Vitae (CV)*

Apostilled MD's certificate*

Apostilled ophthalmologist's certificate*

Hospital/Clinic /Institute working at?*

Current work location*

Medical practice insurance*

Reference letter*

Have you previously performed ICL implantation?*
YesNo

Number of ICL surgeries*

Briefly write about your interest in the course*

Instagram

Please upload a profile picture*

Are you a member of ISRS or RSA?*
YesNo

Upload proof of membership

If you have questions about the course, please email course@zaldivar.com.
For technical inquiries, please contact contact@zaldivarcourse.com.

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Hands on 2026

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