Trainers Registration

INDIAN ASSOCIATION OF EDUCATIONAL THERAPISTS-IAET

TRAINERS REGISTRATION

APPLICATION FORM

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.

Trainers Registration *

TRAINERS APPLICATION FORM

Title *

Name *

Aadhaar Number *

Date of Birth *

DD-MM-YYYY

Age *

In Years

Gender *

Marital Status *

Name of Father / Spouse *

Mention the Name below

Name of Father / Spouse *

Email *

Contact Phone Number *

Mobile Phone Number

WhatsApp Number *

Communication Address *

The address where the certificate to be received. Please mention the PIN Code also.

Educational Qualification *

Profession / Occupation *

Designation of the present post *

Name and address of Organization *

Name and address of Workplace / Institute / School / Learning Centre, etc. Please mention the PIN Code also.

Previous Training in Learning Disability / Special Education / Psychology / Feuerstein Instrumental Enrichment Programs

Mention the training experience in the field of mental health or special education or education.

I heard about the IAET from *

Details Other Source

Referred by or the details of any other sources

Additional Information *

Please provide the RCI Registration Number and details of the category registered and any other details.

I would like to join as trainer because *

50 to 100 words

Declaration *

I certify that the particulars given above are true and correct to the best of my knowledge. I am interested to work as a trainer in IAET and undertake to abide by the rules and regulations during the training.

Please click on the image to accept the above Declaration.

Place *

Date *

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

NOTE:

PLEASE SUBMIT THE FOLLOWING SUPPORTING DOCUMENTS THROUGH EMAIL : iaetprofessionaldevelopment@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.

INDIAN ASSOCIATION OF EDUCATIONAL THERAPISTS-IAET