Basic HTML Version
Please note :
1.
To be filled Names as per the I.A.P. Membership Certificate / Degree Certificate
2.
Fill in block letters.
3.
Attach a copy of the I.A.P. Life/ Active Ordinary Membership Certificate/Card
Title : Dr./Mr./Mrs.: Name ...........................................................................................................................
................................................................................................................................. PHYSIOTHERAPIST
Sex : Male / Female...................................I.A.P. RegistrationNumber : .......................................................
Address : ......................................................................................................................................................
.....................................................................................................................................................................
.....................................................................................................................................................................
City / Town : .................................................................................................................................................
State: ........................................................................................Pin Code:....................................................
Tel.No................................................................. Mobile No........................................................................
E-mail id :.....................................................................................................................................................
Siganture
Please send your filled application to : General Secretary, IAP
Please Note :
1) Ordinary members must register every year with the Copy of membership Card.
2) IAP Office may suspend posting IAP Journal for the reason specified in the resolution passed by
GB regarding IAP Journal.
3) Please enclose attested copy of your IAP Life membership Certificate.
THE INDIAN ASSOCIATION OF PHYSIOTHERAPISTS
“Registration form to receive IAP Journal through Post”
MODELAPPLICATION FORM FOR IAP JOURNAL
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NEWS LETTER - INDIAN ASSOCIATION OF PHYSIOTHERAPISTS - NOV.. 2010
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