Online and Offline ET and FIE Program – Indian Association of Educational Therapists – IAET

INDIAN ASSOCIATION OF EDUCATIONAL THERAPISTS - IAET

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IAET ET Centre
Professional Development
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About
IAET ET Centre
Professional Development
Contact

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About
IAET ET Centre
Professional Development
Contact

INDIAN ASSOCIATION OF EDUCATIONAL THERAPISTS-IAET

ONLINE AND OFFLINE EDUCATIONAL THERAPY/FIE PROGRAM APPLICATION FORM

CLICK HERE FOR THE DETAILS OF IAET ONLINE AND OFFLINE ET AND FIE PROGRAM

CLICK HERE FOR THE TERMS AND CONDITIONS TO ENROLL IN IAET ONLINE AND OFFLINE ET AND FIE PROGRAM

CLICK HERE FOR MODE OF PAYMENTS TO IAET

NOTE:

Please Use Computer/Laptop only to submit the following Application Form. Don’t Use Mobile Phone.

If your application form is submitted successfully you will get the automatic acknowledgement message like shown here. Please take screenshot of that message for your reference.

Please don’t submit the following application form without making any fee payment for any reasons.

Online and Offline ET and FIE Program Application submitting to IAET Educational Therapy Centre, Indian Association of Educational Therapists - IAET, AP 19, No.6, AP Plots 11th Street, Sector A, Anna Nagar West Extension, Chennai - 600 101, Tamil Nadu. Mobile No.: 9942576011, 9551676011 & 9551076011, Telephone: 044-26540611. Website: www.iaet.org.in *

ONLINE AND OFFLINE ET AND FIE PROGRAM APPLICATION FORM
HOME VISIT OFFLINE ET AND FIE PROGRAM APPLICATION FORM (for clients from Chennai, Tamil Nadu only)
WEEKEND HOME VISIT (ET AND FIE PROGRAM) APPLICATION FORM (for clients from Chennai, Tamil Nadu only)
WEEKEND OUTDOOR ACTIVITIES (ET AND FIE PROGRAM) APPLICATION FORM (for clients from Chennai, Tamil Nadu only)

ONLINE AND OFFLINE EDUCATIONAL THERAPY (ET) AND FEUERSTEIN INSTRUMENTAL ENRICHMENT (FIE) PROGRAM APPLICATION FORM

Applying for *

ONLINE EDUCATIONAL THERAPY AND FIE PROGRAM (01 hour session 3 days in a week)
OFFLINE EDUCATIONAL THERAPY AND FIE PROGRAM(01 hour session 3 days in a week)
HOME VISIT OFFLINE EDUCATIONAL THERAPY AND FIE PROGRAM (01 hour session 3 days in a week) (Home visit conveyance minimum charges ₹ 400/- per visit will be extra and this will be varied as per the distance and time. This is not included in the monthly therapy fee)
ONLINE EDUCATIONAL THERAPY AND FIE PROGRAM (01 hour session 5 days in a week)
OFFLINE EDUCATIONAL THERAPY AND FIE PROGRAM (01 hour session 5 days in a week)
ONLINE AND OFFLINE EDUCATIONAL THERAPY AND FIE PROGRAM (01 hour session 5 days in a week)
WEEKEND HOME VISIT EDUCATIONAL THERAPY AND FIE PROGRAM (03 hours session on Saturday or Sunday) for clients from Chennai, Tamil Nadu only.
WEEKEND OUTDOOR ACTIVITIES (EDUCATIONAL THERAPY AND FIE PROGRAM) (03 hours session on Saturday or Sunday) for clients from Chennai, Tamil Nadu only.

Select your option.

Title *

Name *

Name of the Client/Student.

Aadhaar Number *

Date of Birth *

DD-MM-YYYY

Age *

In Years

Gender *

Name of person applying on behalf of the Client/Student *

Mention the Name below

Name of Father *

Name of Mother *

Name of the person applying

Email *

Contact Phone Number *

Mobile Phone Number

WhatsApp Number *

Communication Address *

Please mention the PIN Code also.

Educational Qualification of the Client/Student *

Educational Qualification of Father *

Profession / Occupation of Father *

Designation of the present post of Father *

Name and address of Organization of Father working presently *

Name and address of Workplace Please mention the PIN Code also.

Educational Qualification of Mother *

Profession / Occupation of Mother *

Designation of the present post of Mother *

Name and address of Organization of Mother working presently *

Name and address of Workplace Please mention the PIN Code also.

Name and address of School of the Client/Student (if studying)

Please mention the PIN Code also.

Home address *

Previous Remedial Education or Training / Feuerstein Instrumental Enrichment Programs attended *

Give it in details (Name of the Institute/Centre/Therapist and period).

I heard about the IAET from *

Details of other Source

Referred by or the details of any other sources

Additional Information

I would like to avail IAET's ET services / FIE Program because *

50 to 100 words

I have understood the mode of payment transfer for making fee payment. I have done the payment in the following mode: *

Google Pay: Mobile Phone Number: 9551676011
PhonePe UPI ID: iaet@ybl or PhonePe Mobile Phone Number: 9551676011
BHIM UPI ID: iaet@upi
SBI UPI ID: iaetonline@sbi
IOB UPI ID: iaet@iob
PayPal Payment Link: https://www.paypal.me/iaetonline
Bank Transfer IMPS Transaction to IAET Bank Account. IAET Bank Account Details: Account Name: Indian Association of Educational Therapists, Account Number: 35101998129, Name of the Bank: State Bank of India, Branch: Anna Nagar West Extension, Chennai. IFSC: SBIN0070530. Type of Account: Current Account.

Please select any one of the above Mode of Payment.

Fee Paid (Please mention the amount what you have paid - Admission fee, Deposit amount and First month monthly therapy fee) *

Admission Fee ₹ 2,000/- INR (One time Registration Fee), Deposit amount ₹ 10,000/- INR or more as fixed by the therapist or IAET (One month advance Therapy Fee) and Monthly Therapy Fee ₹ 10,000/- INR or more as fixed by the therapist or IAET. Please mention the Amount what you have paid.

Payment Particulars (Please don't submit this application form without making the fee payment as mentioned above): *

Please mention the Fee (Admission fee of ₹ 2,000/- INR, Deposit amount ₹ 10,000/- INR or more as fixed by the therapist or IAET(One month advance Therapy Fee) and Monthly Therapy Fee of ₹ 10,000/- INR or more as fixed by the therapist or IAET) Payment Transfer Details: Amount, Reference No., Name of the Bank and Date. Please don't submit this application form without making the fee payment as mentioned above.

Technology Requirements for Online Educational Therapy/FIE program *

I accept the above mentioned technology requirements.

Please click on the above image to accept technology requirements. Please click on this even if you are choosing the offline classes as part of the application form.

Terms and Conditions *

I accept the above mentioned terms and conditions (Page No.1) and further I state that I read the ET and FIE program details given above to this application form.
I accept the above mentioned terms and conditions (Page No.2) and further I state that I read the ET and FIE program details given above to this application form.

Please click on the image to accept the above terms and conditions.

Declaration *

I declare and submit the above statements.

Please click on the image to accept the above Declaration.

Place *

Date *

Please Click the APPLY button given below to submit the application form.

Comment

NOTE:

PLEASE SUBMIT THE FOLLOWING SUPPORTING DOCUMENTS THROUGH EMAIL : iaeteducationaltherapycentre@gmail.com

Please send good and clear scanned documents for supporting documents in jpg or pdf files only. Images/Photos taken by the Mobile phone or scanned by CamScanner or any other Mobile Phone Apps will not be accepted.

1. Fee payment proof (Screenshot or PDF file of transaction)

2. Latest Passport size photo of the Student/Client.

3. Identity Proof of the Student/Client and Parents (Aadhaar Card/Passport/PAN Card)

4. Address Proof of the Student/Client and Parents (Passport/Voter ID/Driving License).

5. Previous Assessment and Testing and Medical Reports of the Student/Client.

Note: Please send two different documents for No.3 and No.4. Identity proof and address proof documents should not be the same.

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