Register

In order to get your online profile on our website, you must register using following details.
Note:
Only visually impaired physiotherapists can register on our website after He/she fulfills the following requirements.

  1. if He/She working in professional practice, must have following documents ready for upload
    1. A scanned copy of ID card of IAVIP/VCPA.
    2. A scanned copy of legal blindness certificate
    3. A scanned copy of identity proof may include voter ID/Adhar card etc.
  2. If He/She is not a part of organization and has just passed out or still working in the professional practice, Please become a member first and get your ID card from here

After the successful submission of the form, Your account will remain disabled until we review your application.
After reviewing your form, We will activate your account.
You can only login after successful activation of your account.
Note: We will not activate your account if you will not fulfill all the requirement mentioned above.

Please feel all the required fields in the form below.
All the fields marked with (*) (asterisk) are required.

Register For This Site

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Hint: The password should be at least seven characters long. To make it stronger, use upper and lower case letters, numbers and symbols like ! " ? $ % ^ & ).


Personal Details:


(Optional) Please Upload a Profile Picture. (Allowed File Types: JPG and Png with File Size Minimum 48 Kbs and Maximum up-to 10 MBs)



(optional) Please Enter Your Birth Date in DD/MM/YYYY Format


(optional) Please Select Your Gender from Dropdown List.

Contact Details:


* Please Enter your Mobile Number.

Address Details:


* Please Select your State from Dropdown


* Please Enter your Homeplace Address Here. (This is a Multy Line Edit Box; You Can Use Enter Key to Add New Lines)


* Please Enter your Workplace Address. (This is a Multy Line Edit Box; You Can Use Enter Key to Add New Lines)

Registration Details:


* Please Upload your ID Proof. May Include Voter ID/Adhar Card etc. Aloued File Types: JPG, PNG and PDF With Minimum File Size 48 KBs and Maximum File Size up-to 2 MBs.



* Please Upload Your Blindness Certificate. (Allowed File Types: JPG, PNG, and PDF With Minimum File Size 48 KBs and Maximum File Size up-to 2 MBs)



* Please Upload Your ID Card Provided You By IAVIP/VCPA While Registration Process. You Can Click Here and Become a Member First to Get Your ID Card. (Allowed File Types: JPG, PNG, and PDF With Minimum File Size 48 KBs and Maximum File Size up-to 2 MBs)



* Please Enter Your Registration Number Present on Your IAVIP/VCPA’s ID Card.


Registration confirmation will be e-mailed to you.