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  • The Andhrapradesh Association of Physiotherapists

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    Masi Khan
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    This document contains an application form for membership in The Andhrapradesh Association of Physiotherapists. The form requests information such as the applicant's name, college/university details, registration number, address, contact information, education history, and agreement to abide by the organization's constitution and ethical principles. It serves to collect essential identifying and background information from potential members of the registered physiotherapy association in Andhra Pradesh, India.

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    This document contains an application form for membership in The Andhrapradesh Association of Physiotherapists. The form requests information such as the applicant's name, college/university details, registration number, address, contact information, education history, and agreement to abide by the organization's constitution and ethical principles. It serves to collect essential identifying and background information from potential members of the registered physiotherapy association in Andhra Pradesh, India.

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    10 views2 pages

    The Andhrapradesh Association of Physiotherapists

    Uploaded by

    Masi Khan
    This document contains an application form for membership in The Andhrapradesh Association of Physiotherapists. The form requests information such as the applicant's name, college/university details, registration number, address, contact information, education history, and agreement to abide by the organization's constitution and ethical principles. It serves to collect essential identifying and background information from potential members of the registered physiotherapy association in Andhra Pradesh, India.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
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    The Andhrapradesh Association of Physiotherapists

    Registered no: 302/2010


    (Registered under the Govt of Andhra Pradesh Societies
    Registration Act, 2001)
    Application for the ordinary / life member
    APAP

    APAP

    APAP

    REGISTERED NO 302/2010
    Application no: .
    To be filled in block letters only
    1. Name of the candidate .
    2. Name of the College
    3. Name of the University
    4. Registered Number (university) ..
    5. Year of passing
    6. Blood group .
    INTERNSHIP DETAILS:
    ................................................................................
    ................................................................................
    ................................................................................
    6. Identification marks (as per ssc certificate)

    7. Permanent address:

    8. Temporary address

    9. Email:
    10. Contact number;
    11 .EDUCATIONAL QUALIFICATIONS (PRE --- PROFESSIONAL)
    School / College, Degree, PG, Board / University Year of Passing Duration of study

    12. Whether a member of any other Medical Association: if yes specify:


    13. I agree by the Constitution and Bye laws of The Andhrapradesh Association of
    physiotherapists and uphold its Ethical principles.
    14. Date: / / [DD/MM/YYYY]

    Signature of the Applicant

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