Application for acceptance into the DOG

    Please download the application document:
    [PDF] as well as the as well as the authorized automatic withdrawal form.

    Hereby, I apply for the membership into the DOG / the German Ophthalmological Society.

    Ms Mr

    Institution Address

    Private Address

    Address to be used*

    institution private
    institution private
    institution private no entry at all

    Certification / Residency*

    Ophthalmologist Ophthalmologist Resident Scientist working in visual research Others

    Magazine subscription

    Please note:

    Your application can only be processed, if you designate two references, who should be members of the German Ophthalmological Society, as well.

    1st reference*

    2nd reference*