Workshop registration

Please read all the workshop related details given below and fill out the form accordingly.

Topics

• Workshop on Certificate Course in Dry Needling Practitioner ™️ (level 1 and level 2)

Duration: 2 Days
Will be conducted by Dr. Jatin Patel
BPT, MPT ( Rehab. )
Venue: Navsari, Gujarat
Workshop Dates: 26^th and 27^th of November 2022, Saturday and Sunday
Last date for registration: 15^th of November 2022

Workshop fees

Registration fees Rs.1200/-
Additional escort fees Rs. 600/-

Instructions

Please read and fill all the form fields carefully. All the form fields marked with * or indicated by the word required are mandatory.
In addition to your personal details, optionally you will be asked to enter your IAVIP registration number so keep your IAVIP registration number handy. We recommend all IAVIP members to enter your IAVIP registration number. Also you will be asked to upload your payment proof document so make sure that you pay registration fees mentioned above before filling the form. Account details are given below for your reference.

Note: If you have an impression that you've entered all the correct details, then wait may be 1 or 1.5 minutes until form is submitting the data on the server.

Account details

Name of bank: Union bank of india
Name of account: indian association of visually impaired physiotherapist
Account Number: 312802010043103
IFSC code: UBIN0542237

If you have any questions regarding registration or having difficulties in filling this registration form, You can contact our registration committee. Contact details are given below.
Niranjan Vala +91 97125 80724
Mahesh Sodha +91 70161 06343
Saurav Patel +91 70430 25872
Mittal Panchal +91 70161 19779