Form EC2-O - Page 1

CERTIFICATE OF IDENTITY

(EEA Nationals)

To: General Optical Council, 41 Harley Street, LondonW1G 8DJ

THE FOLLOWING CERTIFICATE SHOULD BE SIGNED BY:

An authority recognised by the General Optical Council for the Applicant's MemberState (a list of those authorities is shown on the back of this certificate) or the General Optical Council if you present this form in person

I certify:

(a) that [applicant’s name]

whose photograph is attached and identified by my initials, attended my office, and has identified himself/herself by the production of his/her passport.

(b) that the originals of all certificates, diplomas, etc., have been produced to me; and that true copies accompany this certificate and are noted "Certified a true copy of the original”, which annotation is duly initialled by me.

Signature:

Description

of Office:

Date:

Name of

Authority:

Address:

Sign across corner of photograph

AUTHORITIES RECOGNISED BY THE GENERAL OPTICAL COUNCIL FOR OPTOMETRISTS

1.Austria
/ BUNDESMINISTERIUM FÜR WIRTSCHAFTLICHE ANGELEGENHEITEN, Abteilung 111/4, Stubenring 1, A-1010 Vienna, Austria
  1. Belgium
/ SPF Economie, Classes moyennes et Energie, Administration de la Politique PME, Division de la Riglementation
Monsieur J. FRERE, WTC III, Boulevard Simon Bolivar 30, 26 ihmeitage, B -1000 BRUXELLES
Ph.: + 32-2-208.51.85
E-mail:
  1. CzechRepublic
/ Ministry of Health of the CzechRepublic, Department of Nursing and Paramedical Professions, Palackiho nam. 4, CZ – 128 01, PRAHA 2
Ms Ivanka KOHOUTOVA, tel. +420-224 972 732
e-mail:
  1. Denmark
/ The National Board of Health (Sundhedsstyrelsen)
Islands Brygge 67, P.O. Box 1881
DK-2300 København S, Denmark
Phone +45 72 22 74 00
Fax 72 22 74 11
Anne Lindrup E-mail:
  1. Estonia
/ Estonian Qualification Authority
Pärnu mnt. 142
11317 Tallinn,
Estonia
Tel: +372 679 17 00
Fax: +372 679 17 01
E-mail:
6.Finland
/ National Authority for Medicolegal Affairs
P.O. Box 265, 00531 Helsinki
Tel. +358 9 772 920

  1. France
/ Ministhre de la Jeunesse, de l'Education et de la Recherche, Direction de l'enseignement supirieur
Bureau DES A 11, 97-99, rue de Grenelle, 75007 PARIS
Ph.: 01.55.55.64.81
  1. Germany
/ ZVA, Alexanderstrasse 25A
D-40210 Dusseldorf, Germany

0211 863 2350

  1. Greece
/ Ministry of Health and Prvention
Department of Health Professions
Aristotelous 17, T.K. 10187, Athens
+210 523 5875
  1. Hungary
/ Ministry of Health, Social and Family affairs, 1051 Budapest
Arany Janos u. 6-8. Hungary
Tel (1) 301 7800
  1. Ireland
/ Bord na Radharcmhastóirí (The Opticians Board)
18 Fitzwilliam Square, Dublin 2.
Tel: (01) 6767416, Fax: (01) 6621051, e-mail: .
The contact person there is Ms. Mary O'Donnell.
  1. Italy
/

FEDEROTTICA, Via Cenisio 32, Milano20154, Italy

  1. Liechtenstein
/ Mrs. Dr. iur. Eva-Maria Hiebl,.
Schulamt des F|rstentums Liechtenstein
Europark / Austrasse 79, 9490 Vaduz
F|rstentum Liechtenstein
Tel: 00423 / 236 73 30
  1. Luxembourg
/ M. A. Schroeder/M. J.P. Braquet
Ministere de l’Education Nationale et de la Formation Professionnelle
Rue Aldringen, 29, L-2926
Luxembourg
  1. Malta
/ Council for Professions Complementary to Medicine
Health Division, 181 Melita Street
Valletta, Malta
+356 2125 5540

  1. Netherlands
/ Ministry of Health, Welfare and Sport
(Ministerie van Volksgezondheid, Welzijn en Sport)
Information and Referral Desk Foreign Degree holders in Health Care
PO Box 16114
2500 BC The Hague
Tel: (070) 3406200 Fax: (070) 3405966

e-mail:

  1. Norway
/
FYLKESLEGEN I OSLO, P O Box 8041 DEP, N-0031 Oslo, Norway
  1. Poland
/ Ministerstwo Zdrowia
Departament Nauki i Szkolnictwa Wyższego, ul. Miodowa 15
00-952 Warszawa
Mrs Goździk - tel. +48 22 634 9567, email:

Or Mrs Kister - tel. +48 22 634 9630, email:

  1. Portugal
/

UPOOP, Campo Grande 286-2dt, 1700 Lisboa, Portugal

APLO - Associação de Profissionais Licenciados de OptometriaPortugal

  1. Spain
/ COLEGIO NACIONAL DE OPTICOS OPTOMETRISTAS, Calle Princesa 25-1, 28008 Madrid, Spain
  1. Sweden
/ National Agency for Higher Education (Hogskoleverket), Luntmakargatan 13, Box 7851, SE-103 99 Stockholm, Sweden
+46 8 563 08500