TN IAP - District Branches
Submit your details and interest by completing the below information. If you have queries, please contact us at tamilnaduiap@gmail.com or  +91 9942519247, +91 7598951618
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Member Details
Name *
Mobile *
Email *
Qualification *
Select the degree related to physiotherapy
IAP Member ID *
Residence Address *
Work Address *
Expression of Interest
District *
Select the district which you predominantly reside and work
Interested District Position *
You may select multiple roles which you may be interested to serve
Required
Statement of Purpose *
You may briefly state how and why you want to play a role in District Committee. This will give a better understanding of your interest.
Summary of Professional Activities
Please state briefly about the summary of your activities related to professional development
References
Include any professional reference contacts if you may wish
I submit this interest to serve the organisation and physiotherapy community as of my best effort. I understand and acknowledge that this is an expression of interest only and it does not confer anything automatically. *
Required
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