Indian Association Of Physiotherapists
   

FORM - I
APPLICATION FORM FOR THE PERMISSION/RECOGNITION BY THE INDIAN ASSOCIATION OF PHYSIOTHERAPISTS

     
01 NAME OF THE COLLEGE ___________________________________________________________________________
02 ADDRESS ___________________________________________________________________________
03 MANAGEMENT: GOVT/PVT. (NAME) ___________________________________________________________________________
04 ADDRESS ___________________________________________________________________________
    ___________________________________________________________________________
  TELE _________________________________           FAX:         __________________________
  E-MAIL ___________________________________________________________________________
05 NATURE OF THE COURSE: Degree/P.G.) ___________________________________________________________________________
06 DURATION OF THE COURSE ___________________________________________________________________________
07 COURSE AFFILIATION (University) ___________________________________________________________________________
08 GOVERNMENT PERMISSION VIDE ORDER NO. ___________________________________________________________________________
09 INTAKE ADMISSION CAPACITY ___________________________________________________________________________
10 NAME OF THE PRINCIPAL ___________________________________________________________________________
10a QUALIFICATIONS ____________________________ (b) I.A.P No_____________________________________
11 INFRASTRUCTURE: PERMANENT / TEMPORARY ________________________________________ (Please give approved plan copy)
12 INFRASTRUCTURE FACILITIES AVAILABLE: ___________________________________________________________________________
a) ACADEMIC: (Attach approved plan)
b) CLINICAL : Own Tie Ups (attach copy of the MOU'S with Hospitals)
  Recognition fees paid Vide D.D No ____________________ Drawn on _________________________________Bank
    Dated : ____________________


We hereby certify that to the best our knowledge the information given above is true.

SIGNATURE OF THE PRINCIPAL SIGNATURE OF THE CHAIRMAN
 
ANNEXURES TO BE ENCLOSED WITH DETAILS (Use Separate Paper
1.OBJECTIVE OF THE COURSE AND THE COLLEGE.
2. CRITERIA FOR ADMISSION.
3. BIO-DATA OF THE PRINCIPAL
4. COPY OF GOVERNMENT APPROVAL
5. COPY OF THE AFFILIATION ORDER FROM THE UNIVERSITY.
6. COPY OF THE TRASCRIPT APPROVED BY THE UNIVERSITY.
7. DETAILS OF THE TEACHING STAFF WITH CADRE AND PAY STRUCTURE
8. DETAILS OF THE HOSPITAL WITH DEPARTMENT WISE BED DISTRIBUTION
9. EXISTING INFRASTRUCTURE AND FUTURE EXPANSION PLAN OF THE COLLEGE.
10. SOURCE OF FOUNDING FOR THE PHYSIOTHERAPY COLLEGE.
(Please attach copy of the audited balance sheet of latest assessment year)
11.DETAILS OF THE TRUST / MANAGEMENT

Applications for recognition of the Institute by “INDIAN ASSOCIATION OF PHYSIOTHERAPISTS” should be completed enclosing all the additional information as required and sent to:

Dr.K.M.Annamalai (PT) Indian Association of Physiotherapists, B-201, Kalyan Tower, Vastrapur Lake, Ahmedabad – 380015.
Tel. No. : 09725598908  Email : annamalaiiap@gmail.com

Kindly enclose a Demand Draft for Rs.20,000/- favoring "The Indian Association of Physiotherapists" as the inspection fees.

Kindly download the criteria of recognition of institutions by IAP from the website www.physiotherapyindia.org or write to the secretary for the needful.

DOWNLOAD THIS FORM ( PDF FORMAT )


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