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NCAHP Draft Regulations

The Government of India has issued a public notice regarding the draft 'Registration of Allied and Healthcare Professionals Regulations 2025', inviting comments from the public and stakeholders until October 25, 2025. The regulations outline the registration process for allied and healthcare professionals, including definitions, requirements, and procedures for obtaining registration in the Central and State Registers. The document also specifies the roles of the National Commission for Allied and Healthcare Professions and the State Councils in the registration process.

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0% found this document useful (0 votes)
595 views130 pages

NCAHP Draft Regulations

The Government of India has issued a public notice regarding the draft 'Registration of Allied and Healthcare Professionals Regulations 2025', inviting comments from the public and stakeholders until October 25, 2025. The regulations outline the registration process for allied and healthcare professionals, including definitions, requirements, and procedures for obtaining registration in the Central and State Registers. The document also specifies the roles of the National Commission for Allied and Healthcare Professions and the State Councils in the registration process.

Uploaded by

hewhouseai
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Government of India

Ministry of Health & Family Welfare


National Commission for Allied Healthcare Professions

2nd Floor, Academic Block,


NIHFW Campus, Munirka,
New Delhi – 110 067

File No: Z-1011/16/2025/NCAHP(AHS) ​ ​ Dated: 25.09.2025

PUBLIC NOTICE

​ The draft of “Registration of Allied and Healthcare Professionals
Regulations 2025”, is placed in the public domain through the National
Commission for Allied and Healthcare Professionals (NCAHP) website in
accordance with Sub-section 1 of Section 66 and clauses (b), (f), (g), (h), (k), (l),
(m), (n) and (q) of Sub- Section 2 of Section 66 read with Section 11(1) (f) and (n),
13(1) & (2), 19, 32 (1) & (2), 33 (4), 36 (2), 39 of the National Commission for
Allied and Healthcare Professions Act 2021, inviting comments from public in
general, experts, stakeholders and organizations etc.
2.​ Objections, suggestions/comments, if any, on the above draft regulations,
should be sent to email at [email protected], within
one month i.e. by 25.10.2025.

(Umesh Balonda)
Secretary, NCAHP

Encl.: As above
The National Commission for Allied and Healthcare Professions

Registration of Allied and Healthcare Professionals Regulations

NOTIFICATION

New Delhi

In exercise of the powers conferred by sub-section 1 of Section 66 and clauses (b), (f), (g),
(h), (k), (l), (m), (n) and (q) of Sub-Section 2 of Section 66 read with Section 11(1)(f), (k) and (n),
13(1) and (2), 19, 32 (1) & (2), 33 (4), 36 (2), 39 of the National Commission for Allied and
Healthcare Professions Act 2021 and of all other powers enabling it in that behalf, the National
Commission for Allied and Healthcare Professions, with the previous approval of the Central
Government, hereby proposes to make the Registration of Allied and Healthcare Professionals
Regulations 2025.

1. Short title and commencement:


(a) These Regulations may be called the “Draft Registration of Allied and Healthcare
Professionals Regulations 2025”.
(b) They shall come into force on such date as the Commission may, by notification in the
Official Gazette, appoint and different dates may be appointed for different provisions of this
regulation and any reference in any such provision to the commencement of this regulation
shall be construed as a reference to the coming into force of that provision. The Commission
may, by notification, also appoint different dates on which the provisions of this regulation
shall come into force for different allied and healthcare professions.

CHAPTER I
Preliminary

2. Definitions:
In these Regulations, unless the context otherwise requires, the terms defined herein shall bear
the meaning assigned to them below and their cognate expressions and variations shall be
construed accordingly.

(a) “Act” shall mean the National Commission for Allied and Healthcare Professions Act, 2021.
(b) “Additional qualifications” shall mean the recognized qualifications, other than the primary
qualifications, that are obtained by the registered allied and healthcare professionals and
included in the Central Register in the manner prescribed under these Regulations.
(c) “Central Register” shall mean the Central Allied and Healthcare Professionals’ Register to
be maintained by the Commission under Section 13 of the Act in the manner prescribed under
these regulations.
(d) “Certificate of Registration” shall mean the certificate issued by the Commission or State
Council upon completion of registration of an allied and healthcare professional with the

Page 1 of 22
Central Register or State Register respectively, and the terms ‘Central Certificate of
Registration’ and ‘State Certificate of Registration’ shall be construed accordingly. Provided
that the term Certificate of Registration shall include a “Certificate of Renewal”, which shall
mean the certificate issued by the Commission or State Council upon renewal of registration
of an allied and healthcare professional with the Central Register or State Register
respectively, and the terms ‘Central Certificate of Renewal and ‘State Certificate of Renewal’
shall be construed accordingly.
(e) “Certificate of Temporary Registration” shall mean the certificate issued by the
Commission upon granting temporary registration to a foreign qualified allied and healthcare
professional or a sponsored foreign allied and healthcare professional in accordance with the
manner prescribed under these Regulations.
(f) “Duplicate Certificate” shall mean the certificate issued to a registered allied and healthcare
professional by the Commission or the State Council as the case may be, in the event of loss
or destruction of the original Certificate of Registration and in the manner prescribed under
these Regulations. The terms ‘Central Duplicate Registration Certificate’ and ‘State Duplicate
Registration Certificate’ shall be construed accordingly.
(g) “Equivalency credential evaluation” shall mean the evaluation process to determine the
equivalency of the qualifications of a foreign qualification with the recognized qualifications
under the Act, and as prescribed by the Commission under the Recognition of Institution
Regulations 2025 and further notified by the Commission from time to time.
(h) “Exit examination” shall mean such examination as prescribed by the Commission under
Section 11(1)(h) of the Act.
(i) “Foreign allied and healthcare qualification” shall mean such foreign qualification as
recognized under Section 39 of the Act.
(j) “Foreign qualified allied and healthcare professional” shall mean a citizen of India who
holds a qualification granted by an institution outside India that is recognized under Section
39 of the Act but does not hold any recognized qualification from a recognized institution in
India.
(k) “Good standing certificate” shall mean the certificate issued by the State Council or
Commission as the case may be to certify the professional conduct of a registered allied and
healthcare professional for the purposes of undertaking any education or professional practice
outside India, in the manner prescribed under these Regulations.
(l) “Interim Registration” shall mean a registration granted to a person enrolled in a recognized
institution to undertake any internship / practical training required for the fulfilment of such
recognized qualifications, in the manner as prescribed under these Regulations.
(m) “Primary qualification” shall mean the basic recognized qualification that is obtained by an
allied and healthcare professional and included as the initial recognized qualification in the
State Register and the Central Register as the case maybe, in the manner prescribed under
these Regulations.
(n) “Provisional registration” shall have the same meaning as provided under the Provisional
Registration Regulations, as prescribed under Section 38 of the Act.
(o) “Recognized categories” shall have the same meaning as provided under the Act and as
specified in the Schedule to the Act.
(p) “Recognized institution” shall mean an allied and healthcare institution that has been
recognized under the Act and in the manner prescribed under the Recognition of Institutions
Regulations.

Page 2 of 22
(q) “Recognized profession” shall mean such allied and healthcare professions recognized under
the Act and listed in the Schedule to the Act.
(r) “Recognized qualification” shall mean the qualifications for practice of allied and healthcare
professions recognized in the manner prescribed by the Commission under Section 11(1)(f)
of the Act, and shall include the curriculum and mandatory internships as may be prescribed
by the Commission by notification from time to time.
(s) “Registered allied and healthcare professionals” shall mean any allied and healthcare
professional that has obtained registration in accordance with these Regulations.
(t) “Registered foreign qualified allied and healthcare professional” shall mean a foreign
qualified allied and healthcare professional that has been granted a registration for the practice
of an allied and healthcare profession in India or a Temporary Registration under Section
39(2) of the Act and in the manner prescribed under these Regulations.
(u) “Registration” shall mean the procedure for recording names and details of allied and
healthcare professionals on the Central Register or State Register, as the case may be and, in
the manner prescribed under these Regulations, to entitle such allied and healthcare
professionals to provide any service within the scope of practice of a recognized profession
under the Act.
(v) “Removal” shall mean removal of the name and details of a registered allied and healthcare
professional from the Central Register and State Register as the case may be, in the manner
prescribed under these Regulations.
(w) “Renewal” shall mean the procedure for extension of validity for a further period of five years
upon expiry of the validity period of a Certificate of Registration in the manner prescribed
under these Regulations.
(x) “Restoration” shall mean re-registration of an allied and healthcare professional who has
been removed from any State Register or the Central Register as the case may be, in the
manner prescribed under these Regulations.
(y) “Rules” shall mean the National Commission for Allied and Healthcare Professions Rules,
2021.
(z) “Sponsored foreign allied and healthcare professional” shall mean a foreign national, who
is enrolled as an allied and healthcare professional or such similar professional or has obtained
the relevant qualification for such enrolment in accordance with the applicable laws of that
country and who has been sponsored by an Indian sponsor for obtaining a Temporary
Registration in the manner prescribed under these Regulations.
(aa) “State Register” shall mean the State Allied and Healthcare Professionals’ Register
to be maintained by the State Council under Section 32 of the Act in the manner prescribed
under these regulations.
(bb) “Temporary Registration” shall mean the registration of a foreign qualified allied
and healthcare professional or a sponsored foreign allied and healthcare professional under
Section 39(2) of the Act that has been granted for a specific purpose in India and for a specified
period of time and under such stipulation or such other conditions, in the manner as prescribed
under these Regulations.
(cc) “UID Number” shall mean a unique identification number provided to a registered
allied and healthcare professional in the manner prescribed under these Regulations.

Words and expressions used in these Regulations and not defined herein but defined in the Act and
the Rules or any other regulation issued under the Act, shall have the same meaning assigned to them

Page 3 of 22
in that Act, Rules or such regulations, respectively.

CHAPTER II

Registration for Allied and Healthcare Professionals

3. Registration requirement for allied and healthcare professionals:


(a) No person shall be entitled to practice any recognized profession as an allied and healthcare
professional without obtaining registration in the manner prescribed in these Regulations.
(b) An individual shall be considered to have obtained the registration to practice a recognized
profession under the Act, upon their name being included in the relevant State Register, and
subsequently in the Central Register, and upon having received the relevant UID Number in
the manner prescribed in these Regulations. Provided that:
(i) Any person who is a resident of any Union Territory or a State where a State Council has
not yet been established shall only register with the Central Register in the manner
prescribed under Rule 13 of the Rules.
(ii) Any person who offers their services in any of the recognised categories of allied and
healthcare professions on or before the commencement of the Act, but does not possess
the recognized qualification, will be entitled for provisional registration as prescribed
under Provisional Registration Regulations 2025.
(iii) A foreign qualified allied and healthcare professional shall be allowed to obtain the
registration to practice a recognized profession in India only in the manner prescribed
under these Regulations.

4. Manner of registration of allied and healthcare professionals with the State Register
(a) A person shall be considered eligible for registration with the State Register to practice any
recognized profession as an allied and healthcare professional, if they have:
(i) Obtained a recognized primary qualification from a recognized institution. Provided that
the Commission shall, by notification, specify the recognized qualifications that have to
be obtained for registering for each category of recognized profession from a recognized
institution.
Further provided that, where a postgraduate qualification is the primary professional
recognized qualification to be obtained as per the Schedule of the Act, there should not
be any conflict of interest between the relevant allied and healthcare profession and any
other profession undertaken by the individual;
(ii) Qualified the relevant exit examination as prescribed by the Commission; Until such time
that the Commission notifies an independent exit examination, the final examination
being conducted by recognized institution for awarding of recognized qualifications shall
be construed as the “exit examination” under these Regulations.
(iii)Residence in the State where they intend to register.
(b) The manner and procedure of application for the grant of registration of allied and healthcare
professionals in the State Register shall be as prescribed by the relevant State Government
under Section 33 of the Act. Provided that such procedure to be prescribed by the State
Government shall ensure that:
(i) The registration fees payable for registration to the State Register shall not exceed INR
2000 /- (two thousand rupees only excluding any taxes payable) or such other amount as

Page 4 of 22
may be prescribed by the Commission from time to time.
(ii) The registration application for the State Register shall be accepted or rejected by the
State Council within such period of time from the receipt of the registration application
as the State Government may notify, and such period of time shall not exceed 30 days.
(iii) An acknowledgement shall be provided to the applicant upon receipt of the registration
application for the State Register by the State Council.
(iv) Any allied and healthcare professional shall be registered in only one State Register at
any point of time.
(v) The manner and procedure of application is in compliance with such other directions and
guidelines as may be notified by the Commission from time to time.
(c) The State Government shall ensure that the following information is obtained through the
application form for registration of an allied and healthcare professional with the State
Register:
1. Name:
2. Gender: Male/Female/Others
3. Age:
4. Date of birth:
5. Place of birth
6. Father's Name:
7. Mothers Name:
8. Are you a Citizen of India:
I. By Birth or
II. by domicile
9. Permanent Address:
10. Present occupation and address
11. E-mail:
12. Mobile No.:
13. Date of Application:
14. Primary qualification including additional qualification:
15. Year of passing the basic professional qualification degree:
16. Name of the Institute(s)/College(s) (Where qualification obtained) along with
address and pincode /DIGIPIN and the unique institution id of such institute:
17. Evidence of successful completion of recognized qualification(s) with self-attested
on each page:
I. Provisional or Final degree
II. Certificate of Completion of internship
III. Transcript of the applicant issued by respective institute/university
IV. Soft copy of curriculum followed in the programme
V. Evidence of experience
VI. Valid ID proof (Aadhar/Passport/Voter ID)
VII. Fee receipt
[Note: The application form shall contain appropriate language to seek consent from
the applicants to process their personal information, especially Aadhaar details, for
the purpose of reviewing the application to grant / deny the registration].
18. States in which the applicant is desirous of practicing the recognized profession:

Page 5 of 22
(d) The State Council shall consider the application for grant of registration to the State Register
and verify all such documents and details as is necessary to satisfy themselves that the
applicant is appropriate for grant of registration in accordance with the criteria set out in
Regulation 4(a) above. The State Council shall forward the approved applications to the
Commission for issuance of a UID Number. The UID will be unique to each allied and
healthcare professional and contain the country code - state abbreviation - professional
category number - year of registration and unique number. For example: IND-GU-08-2025-
XXXXXXXXX along with QR code. The Commission may amend the format of such UID
Number from time to time.
(e) The Commission shall, subject to any clarifications it may seek from the State Council, issue
the UID Number for the approved applicants, and the State Council shall grant the Certificate
of Registration, and the details of the registered allied and healthcare professional shall be
entered into the State Register. The registration shall be granted within a period of time as
the State Council may notify but not exceeding 30 working days from the receipt of the
application.
(f) An allied and healthcare professional shall only apply for registration in one State Register
based on the State of their residence.
(g) Any registered allied and healthcare professional, who seeks to practice in a State other than
the State in which they are registered, shall intimate the same to the State Council with which
they are registered, in such form and manner as may be specified by the Commission from
time to time. The State Council shall, upon receipt of such intimation, update the State
Register with the relevant details of the States of practice of the registered allied and
healthcare professionals.
(h) An allied and healthcare professional shall not be allowed to apply for registration with a
State Council, while their application for registration is pending with another State Council
or is subject to an appeal before the Commission in accordance with Section 33(5) of the
Act.
(i) The State Council shall, upon update to an entry in the State Register, intimate the
Commission for such details to also be updated in the Central Register, including but not
limited to the removal and restoration of registrations in the State Register.

5. Record of Registration of allied and healthcare professionals on the Central Register:


(a) Each State Council shall forward the details of the allied and healthcare professionals, that
are registered in the State Register in a month, to the Commission on the last day of every
month.
(b) The Commission shall, upon receipt of the details of registered allied and healthcare
professionals, include the name of such allied and healthcare professionals in the Central
Register.
(c) Upon registration with the Central Register, the allied and healthcare professional shall be
entitled to practice the respective category(s) of recognized profession in any State as
prescribed under Section 15 of the Act and shall not be restricted to practicing in only that
State under whose State Register they have been registered.

6. Procedure for modification of details in the Central Register:


(a) In the event of any change in details of an allied and healthcare professional registered with
the Central Register, such individual shall intimate the modified details to the Secretary to

Page 6 of 22
the Commission, along with prescribed documents, and shall also respond to any queries that
may be raised by the Secretary to the Commission in this regard.
(b) The Commission shall, upon reviewing the documents, update the details of residence in the
relevant entry of the allied and healthcare professional in the Central Register.
(c) Upon updating the Central Register, the Commission shall direct the relevant State to update
the State Register with the relevant details of residence, as well as direct for the migration of
registration to another State Register in case of change of residence from one State to another.
(d) Where the relevant details of an allied and healthcare professional undergo change after
registration in the State Register but prior to registration in the Central Register, such
individual must intimate the Secretary to the Commission of the modified details at the
earliest possible instance after registration in the Central Register has been granted.

7. Denial of Registration to Practice


(a) A registration application to the State Register shall be rejected by the State Council only
through a written and reasoned order, and after providing the applicant with an opportunity
to be heard and to correct any defects in the application. A copy of the rejection order shall
be provided to the rejected applicant.
(b) Upon rejection of a registration application, the applicant may file an appeal to the
Commission against the order issued by the State Council under Section 33(5) of the Act,
within thirty days of receipt of such order of rejection of the State Council.
(c) Such an appeal may be submitted to the Secretary to the Commission, along with the
following:
(i) Original application submitted to the State Council.
(ii) Copy of order received from the State Council containing reasons for rejection of the
registration.
(iii) A written application contending the grounds of rejection.
(iv) A processing fee of Rs.5000/- (five thousand only excluding any taxes payable) or such
other fee as may be prescribed by the Commission from time to time, in favor of the
Secretary to the Commission.
(d) The Commission shall forward the appeal to the relevant Professional Council based on the
primary qualification of the allied and healthcare professional that has filed the appeal.
(e) The relevant Professional Council shall examine the appeal and take a decision within ninety
days of receipt of the appeal.
(f) If the appeal is allowed by the respective Professional Council of the Commission, it may
pass an order for the State Council to grant Certificate of Registration to the applicant and
enter their name in the State Register. If the appeal is rejected by the respective Professional
Council of the Commission, it may uphold the decision of the State Council to reject the
registration application of the applicant.
(g) Any such order passed by the respective Professional Council of the Commission shall be
binding on the State Council and the State Council shall forthwith and not more than thirty
days of receipt of such order, shall ensure compliance with such order.

8. Registration for Additional Qualifications:


(a) Any allied and healthcare professional shall be allowed to provide any service in relation to
an additional qualification only upon registration of such an additional qualification in the
Central Register in the manner prescribed below.

Page 7 of 22
(b) As and when a registered allied and healthcare professional obtains any additional
qualification, such professional shall apply to the Commission for entering the additional
qualifications against their name in the Central Register in the manner as prescribed under
Rule 15 of the Rules.
(c) An application fee of Rs. 1000 /- (one thousand rupees only excluding any taxes payable) or
such other fee as may be prescribed by the Commission shall be payable in favour of the
Secretary to the Commission, along with the application for registration of an additional
qualification.
(d) Upon registration of the additional qualification, entry of the relevant allied and healthcare
professional in the Central Register shall be updated with the details of the additional
qualification and the date of entering the additional qualification but shall retain the same
period of validity and UID Numbers.
(e) Upon alteration of the Central Register with the relevant details of the additional
qualification, the concerned State Register shall also be automatically updated without
payment of any additional fees.
(f) The validity period of the Certificate of Registration shall not be changed upon addition of
the additional qualification.
(g) An allied and healthcare professional with additional qualifications, that are registered with
the Central Register, shall be allowed to practice in the field of specialization/super-
specialization commensurate with additional knowledge and skill obtained, as applicable to
the additional qualification, anywhere in India with all its privileges as the case may be.

9. Validity and Conditions for Renewal of Registration


(a) The registration of an allied and healthcare professional under the State Register and the
Central Register, as the case maybe, shall be valid for a period of five years, after which the
allied and healthcare professional shall be required to renew their registration in the manner
prescribed under these Regulations, and upon payment of such fee as may be prescribed by
the State Government under Section 35(1) of the Act.
(b) The registration of an allied and healthcare professional shall be renewed only if that
individual has:
(i) Undertaken continuous professional development education for a minimum of 15 hours
in a year and a total of 75 hours during the five-year period of validity of the registration.
The continuous professional development education may be in the form of attendance at
conferences, workshops, seminars, training programmes and faculty development
programmes, and only 50% of such attendance may be in online mode.
(ii) Provided a self-certified true copy of the certificate of attendance pertaining to the
continuous professional development education along with such renewal application as
prescribed under these Regulations.
(iii)Complied with such other guidance regarding such continuous professional development
education as may be notified by the Commission from time to time.

10. Procedure for Renewal of Registration with the State Register


(a) The registered allied and healthcare professional shall, upon expiry of the validity of their
registration with the State Register, be required to renew their registration in the State
Register.
(b) An application for renewal of the registration under Section 33(4) shall be made to the State

Page 8 of 22
Council in Form F along with the payment of prescribed renewal fee, including such
additional fees as applicable.
(c) The State Government shall prescribe the manner and procedure of obtaining the renewal of
registration with the State Register, as required under Section 33(3) and 35 of the Act, and
shall ensure that:
(i) The State Council has satisfied itself that the registered allied and healthcare professional
has complied with the requirements specified in Regulation 9 in order to be granted a
State Certificate of Renewal under these Regulations.
(ii) An acknowledgement is provided to the applicant upon receipt of the renewal application
for the State Register and the prescribed fee by the State Government.
(iii)The fees for the renewal application, to be prescribed by the State Government, shall not
exceed INR 1000 /- (One thousand rupees only excluding any taxes payable) or such
other amount as may be prescribed by the Commission from time to time
(iv) Upon failure to pay the fee for the renewal application, the Secretary of the State Council
shall remove the name of the defaulter from the State Register.
(v) The State Government shall prescribe an additional fee for restoration of name on the
State Register under Section 35(2) of the Act not exceeding Rs. 1000 /- (one thousand
rupees only excluding any taxes payable).
(vi) The State Government may prescribe an additional fee not exceeding Rs. 1000 /- (one
thousand rupees only excluding any taxes payable) for each consecutive year of non-
payment of the renewal fees by the allied and healthcare professional.
(d) The State Certificate of Renewal shall be granted by the State Council in the same format as
the State Certificate of Registration.
(e) Upon renewal of the registration under the State Register, the validity period against the
relevant entry in the Central Register shall also be automatically updated by the Commission
without payment of any additional fees.
(f) The application for renewal of registration under the State Register may be made three
months before the expiration of the validity of registration.
Provided that if no renewal application is received within three months before expiration of
the validity of registration, the entry of the relevant allied and healthcare professional in the
State Register shall be reflected as ‘inactive’. The entry of the status – ‘inactive’ made in the
State Register shall be automatically updated in the Central Register. No allied and healthcare
professional shall be entitled to practice their allied and healthcare professions during this
period of ‘inactive’ status.
(g) No additional qualification shall be registered during the period that the registration of the
allied and healthcare professionals is marked as ‘inactive’ in the State Register and the
Central Register.

11. Issue of duplicate certificate by State Council


(a) The State Council shall provide a State Duplicate Registration Certificate to allied and
healthcare professionals registered with the respective State Register, if it is satisfied upon
the receipt of an application in the manner prescribed by the State Government, that the
original State Certificate of Registration has been lost or destroyed. The application for
duplicate certificate shall contain such details as may be notified by the Commission from
time to time.
(b) The State Council may notify such supporting documents, including but not limited to copies

Page 9 of 22
of any first information report filed by the registered allied and healthcare professional with
the local police station in this regard, to be furnished along with the application as may be
necessary to determine that the original State Certificate of Registration has been lost or
destroyed.
(c) The fees payable for obtaining a duplicate certificate shall be prescribed by the State
Government but shall not exceed INR 2000/- (two thousand rupees only excluding any taxes
payable).
(d) Upon receipt of an application for a duplicate certificate, the State Council shall issue an
acknowledgement token to the registered allied and healthcare professional, and such
acknowledgement token may be furnished as evidence of registration till such time as the
duplicate certificate is issued. Provided that the acknowledgement token shall be returned to
the State Council at the time of collecting the duplicate certificate.
(e) The duplicate certificate shall be provided by the State Council within a specified period of
time as may be notified by the State Government; provided that such period of time shall not
exceed 30 days from the receipt of the application.

12. Removal and Restoration of Registration in the State Register


(a) Any registration of an allied and healthcare professional in the State Register may be
removed by the State Council, as prescribed under Section 36(1) of the Act, for a period
ranging from 2 months to 2 years, or permanently, based on the severity of non-compliances,
in accordance with the procedure as may be laid out in the Professional Ethics Regulations
issued under Section 11(1)(b) of the Act.:
(b) In addition to the provisions of the Professional Ethics Regulations issued under Section
11(1)(b) of the Act, the following conduct shall constitute grounds for removal of
registration:
(i) Misrepresentation or suppression of a material fact by the allied and healthcare
professional;
(ii) Commission of any error by the allied and healthcare professional at the time of
registration;
(iii) Conviction of the allied and healthcare professional with an offence involving moral
turpitude and punishable with imprisonment.
(iv) Conviction of the allied and healthcare professional with any infamous conduct in any
professional respect;
(v) Violation of the standards of professional conduct and etiquette or the code of ethics by
the allied and healthcare professional, which in the opinion of the State Council renders
them unfit to be kept in the State Register;
(c) Where any registered allied and healthcare professional violates any standards of
professional conduct and etiquette or the code of ethics during their practice in a state other
than their state of residence, such non-compliances shall be subject to scrutiny in the manner
as may be prescribed under the Professional Ethics Regulations issued under Section 11(1)(b)
of the Act.
(d) Any allied and healthcare professional who has been removed from one State Register shall
not be allowed to re-register under that State Register or any other State Register without
prior approval from the State Council from whose register his name has been removed.
(e) A removed registration of an allied and healthcare professional may be restored in the manner
prescribed by the State Government under Section 37 of the Act and after the completion of

Page 10 of 22
the time period specified in Regulation 12(a).
(f) The Central Register shall be automatically updated based on the removal or subsequent
restoration of registration of allied and healthcare professionals in the State Register.

CHAPTER III
Registration of Certain Allied and Healthcare Professionals only with the Central Register

13. Registration of allied and healthcare professionals residing in Union Territories or States
with no State Council
(a) Until such time that the State Council has been established in any State or Union Territory,
allied and healthcare professionals residing in such State or Union Territory shall apply for
the grant of registration with the Central Register to the Commission, upon fulfilling of the
qualifications prescribed in Regulation 4(a) above and in the manner prescribed under the
Rules. The Commission may, from time to time, issue guidelines regarding the manner of
submitting the application form and grant of registration as prescribed under the Rules.
(b) Any allied and healthcare professional who has been granted such a registration in the Central
Register shall be deemed to have obtained the relevant registration with the State Register in
the concerned State or Union Territory for the practice of the recognized category of allied
and healthcare profession in that State or Union Territory as the case maybe.
(c) Any such registration to the Central Register granted by the Commission shall not be
considered as invalid upon the subsequent establishment of the respective State Council,
subject to compliance with the procedure in Regulation 13(d) below.
(d) Upon establishment of the respective State Council and the State Register, the State Register
shall be automatically updated with the entries of allied and healthcare professional having
residence in that State as provided in the Central Register.
(e) The period of validity of such registered allied and healthcare professional for the purpose of
Section 33(4) of the Act shall be considered from the date of their registration with the
Central Register.
(f) The State Council shall, upon being established, retain all the powers of removal and
restoration of registrations and such other powers as provided under the Act read with these
Regulations.

14. Denial of registration with the Central Register


(a) A registration application to only the Central Register shall be rejected by the Commission
only through a written and reasoned order, and after providing the applicant with an
opportunity to be heard and to correct any defects in the application. A copy of the rejection
order shall be provided to the rejected applicant.
(b) Upon rejection of a registration application, the applicant may file a review application to the
Commission against the order issued by the Commission under Section 33(5) of the Act,
within thirty days of receipt of such order of rejection of the Commission.
(c) Such a review application may be submitted to the Secretary to the Commission, along with
the following:
(i) Original application submitted to the Commission.
(ii) Copy of previous order containing reasons for rejection of the registration.
(iii) A written application contending the grounds of rejection.

Page 11 of 22
(iv) A processing fee of Rs.5000/- (five thousand only) or such other fee as may be prescribed
by the Commission from time to time, in favor of the Secretary to the Commission.
(d) The Commission shall forward the review application to the relevant Professional Council
based on the primary qualification of the allied and healthcare professional that has filed the
appeal.
(e) The relevant Professional Council shall examine the review application and take a decision
within ninety days of receipt of the appeal.
(f) If the review is allowed by the respective Professional Council of the Commission, it may
pass an order for the Commission to grant the Central Certificate of Registration to the
applicant and enter their name in the Central Register. If the review is rejected by the
respective Professional Council of the Commission, it may uphold the decision of the
Commission to reject the registration application of the applicant.
(g) Any such order passed by the respective Professional Council of the Commission shall be
binding and have to be complied within thirty days of issuance of such an order.

15. Procedure for Renewal of Registration with Central Register


(a) An allied and healthcare professional registered only with the Central Register under Rule
13 of the Rules shall, upon expiry of the validity period of five years of their registration with
the Central Register, be required to renew their registration in the Central Register in the
manner prescribed below.
(b) An application for renewal of the registration with the Central Register under Rule 13 of the
Rules shall be made to the Commission in Form G, along with a fee of INR 1000 /- (one
thousand rupees only excluding any taxes payable) paid in favour of the Secretary to the
Commission.
(c) The application for renewal of registration under the Central Register shall be made three
months before the expiration of the validity of registration.
Provided that if no renewal application is received within three months before expiration of
the validity of registration, the entry of the relevant allied and healthcare professional in the
Central Register shall be reflected as ‘inactive’. No allied and healthcare professional shall
be entitled to practice their allied and healthcare professions during this period of ‘inactive’
status.
(d) The Commission shall provide an acknowledgement to the applicant by way of email and
through text message on the phone number provided in the renewal application, upon receipt
of the renewal application for the Central Register and the prescribed fee.
(e) The Commission shall satisfy themselves that the registered allied and healthcare
professional has complied with the requirements specified in Regulation 9 in order to be
granted a Central Certificate of Renewal under these Regulations.
(f) The Central Certificate of Renewal shall be granted by the Commission in the same format
as the Central Certificate of Registration in Form C as prescribed under the Rule.
(g) Upon failure to pay the fee for the renewal application, the Secretary of the State Council
shall remove the name of the defaulter from the State Register. The name of the defaulting
allied and healthcare professional may be restored to the Central Register upon payment of
an additional fee of Rs. 1000 /- (one thousand rupees only excluding any taxes payable) for
each consecutive year of non-payment of the renewal fees by the allied and healthcare
professionals.
(h) Upon renewal of the registration under the Central Register, the validity period against the

Page 12 of 22
relevant entry in the Central Register shall be updated by the Commission.
(i) No additional qualification shall be registered during the period that the registration of the
allied and healthcare professional is marked as ‘inactive’ in the Central Register.

16. Issue of duplicate certificate by the Commission


(a) The Commission shall provide a Central Duplicate Registration Certificate to allied and
healthcare professionals registered with the Central Register only in accordance with Rule
13 of the Rules, if it is satisfied upon the receipt of an application in Form H, that the original
Central Certificate of Registration respectively has been lost or destroyed.
(b) The Commission may notify from time to time such supporting documents, including but not
limited to copies of any first information report filed by the registered allied and healthcare
professional with the local police station in this regard, to be furnished along with the
application as may be necessary to determine that the original Central Certificate of
Registration has been lost or destroyed. The Commission may seek additional information
from the applicant to satisfy themselves that the applicant is appropriate for grant of the
relevant duplicate certificate.
(c) A fee of INR 2000 /- (two thousand rupees only excluding any taxes payable) shall be paid
in favour of the Secretary to the Commission along with the application form in Form H.
(d) The Central Duplicate Registration Certificate shall be provided by the Commission in the
same format as Central Certificate of Registration with the words “Duplicate” specified, and
within 15 days of receipt of the respective application.

17. Removal and Restoration of Registration in the Central Register


(a) The Commission may, through a written and reasoned order, remove the name of any allied
and healthcare professional from the Central Register, after giving that person a reasonable
opportunity of being heard and after such further inquiry, if any, if it finds that—
(i) Such person’s name has been entered in the Central Register by error or on account of
misrepresentation or suppression of a material fact; or
(ii) that such person has been convicted of an offence involving moral turpitude and
punishable with imprisonment or has been guilty of any infamous conduct in any
professional respect or has violated the standards of professional conduct and etiquette
or the code of ethics which in the opinion of the Commission renders them unfit to be
kept in the said register.
(b) The Commission may remove any registration of an allied and healthcare professional in the
Central Register for such period as prescribed under Regulation 12(a) above or such other
period as it may deem fit.
(c) A person aggrieved by an order under Regulation 17(a) may, within thirty days from the
communication of such order, prefer a review to the Commission and, after giving an
opportunity of being heard, the Commission shall, within a period of ninety days from the
date of filing of such review, pass such order as it thinks fit.
(d) A person who has been removed from the Central Register shall not be allowed to re-register
under any State Register without prior approval from the Commission.
(e) A removed registration of an allied and healthcare professional shall be deemed to be restored
by the Commission after the completion of such time period specified by the Commission in
Regulation 17(b) above and simultaneously the Central Register shall be updated.

Page 13 of 22
(f) The Commission may, upon receipt of an application in this regard and upon payment of
such fee as it may notify from time to time, restore the registration of such allied and
healthcare professional to the Central Register. Provided that such restoration shall not take
place prior to the time period specified in Regulation 12(a) above.

CHAPTER IV
Interim Registration for Internship

18. Interim Registration:


(a) No person who is enrolled in any recognized institution for the grant of a recognized
qualification shall be allowed to undertake any internship, training, observership or practical
training required for the fulfilment of such recognized allied and healthcare qualification,
without having obtained an Interim Registration in the manner prescribed below.
Provided that a foreign qualified allied and healthcare professional who has obtained a
Temporary Registration for undertaking any clinical training in India shall not be further
required to obtain an Interim Registration under this Regulation.
(b) The Interim Registration shall be obtained from the State Council of the State where the
recognized institution in which the applicant is enrolled is located.
(c) Any internship, training, observership or practical training that is required for the fulfilment
of such a recognized qualification, shall be undertaken only from the practicing facility to
which the recognized institution in which the applicant is enrolled is attached.
(d) Interim Registration shall have to be obtained from the concerned State Council, by making
an application in this regard. Provided that no fees shall be charged for an application for
Interim Registration.
(e) Any person who has passed the qualifying examination of a Recognized Institution for the
grant of an allied and healthcare qualification shall be entitled to Interim Registration, upon
compliance with such other requirements and submission of such applications as may be
prescribed by the State Council.

CHAPTER V
Maintenance of Central Register and State Register

19. Maintenance of the Central Register:


(a) The Commission shall maintain an online and live Central Register of persons in separate
parts in each of the recognized categories as required under Section 13 of the Act and in the
manner and format prescribed below.
(b) The Central Register shall be made available to the public by placing it on the website of the
Commission and shall display the following information in respect of an allied and healthcare
professional registered on the Central Register:
1. Registration No.:
2. Name:
3. Father’s Name / Mother’s Name
4. Gender:
5. Date of registration

Page 14 of 22
6. State (based on registration with concerned State Register):
7. Name of place of work/practice
8. Preliminary Qualification:
9. Additional Qualification(s):
10. Specialty:
11. Year of passing the qualification:
12. Name of the concerned Institute(s)/University(s) (where qualification was obtained):
13. Period of valid registration:
14. UID Number:
15. States of practice (based on intimations provided by allied and healthcare
professionals from time to time):
16. Status (Active / Inactive):

20. Maintenance of the State Register:


(a) The State Council shall maintain the State Allied and Healthcare Professionals' Register (the
State Register) as required under Section 32(1) of the Act, in the manner and format
prescribed below.
(b) The State Register shall be made available to the public by placing it on the website of the
respective State Council and shall display the following information in respect of an allied
and healthcare professional registered on the State Register:
1. Registration No.
2. Name:
3. Father’s Name / Mother’s Name
4. Gender:
5. Date of registration:
6. State:
7. Name of place of work/practice:
8. Preliminary Qualification:
9. Additional Qualification(s):
10. Specialty:
11. Year of passing the degree:
12. Name of the concerned Institute(s)/University(s) (where qualification was obtained):
13. UID Number:
14. States of practice (based on intimations provided by allied and healthcare
professionals from time to time):
15. Status (Active / Inactive):

CHAPTER VI
Foreign Qualified and Sponsored Allied and Healthcare Professionals

21. Registration of Foreign Qualified Allied and Healthcare Professional


(a) A foreign qualified allied and healthcare professional shall be allowed to practice any
recognized profession under the Act, only upon obtaining a registration in the manner
prescribed under Regulation 22 below and subject to such other conditions as may be
specified in this Chapter VI of these Regulations.
(b) A foreign qualified allied and healthcare professional shall be considered eligible to apply

Page 15 of 22
for a registration to practice a recognized profession in India, only if they have:
(i) Obtained a foreign allied and healthcare qualification recognized by the Commission in
the Recognition of Institutions Regulations under Section 39(1) of the Act.
(ii) Obtained a foreign allied and healthcare qualification within or after such date as may be
notified by the Central Government under Section 39(3) and 39(4) of the Act, and if no
such date has been specified then from the date of the relevant notification issued by the
Central Government.
(iii) Completed the relevant equivalency credential evaluation, as may be prescribed by the
Commission under Section 39(1) of the Act.
(iv) Qualified the relevant exit examination, as may be prescribed by the Commission under
Section 11(1)(h) of the Act.
(v) Such other requirements as may be specified by the Commission from time to time.
(c) Upon registration with the Central Register, a registered foreign qualified allied and
healthcare professional shall be treated as registered allied and healthcare professional for
the purpose of the Act, the Rules and these Regulations.

22. Procedure for registration of foreign qualified allied and healthcare professional
(a) A foreign qualified allied and healthcare professional desirous of being registered shall
submit the specific application form applicable for respective recognized category of
allied and healthcare professional, for registration in the Central Register, as the
Commission may specify from time to time. Provided that the foreign qualified allied and
healthcare professional shall be required to indicate their chosen State of residence in India
in such application form.
(b) An application fee of Rs. 11,000 / - (eleven thousand rupees only excluding any taxes
payable) or such other amount as may be prescribed by the Commission, shall be payable
in favor of the Secretary to the Commission, along with the application.
(c) The Commission shall consider the application and satisfy themselves that the applicant
is appropriate for grant of registration to the foreign allied and healthcare professional in
accordance with the criteria set out in Regulation 21(b) above, and thereafter the
Commission shall issue a UID number to the applicant. The UID will be unique to each
allied and healthcare professional and contain the country code (country of residence of
the foreign qualified allied and healthcare professional) - professional category number -
year of registration and unique number. For example: NZ-08-2025-XXXXXXXXX along
with QR code. The Commission may amend the format of such UID Number from time
to time.
(d) Upon issuance of the UID number, the Commission shall issue a certificate of registration
to the foreign qualified allied and healthcare professional in such format and subject to
such specific conditions as the Commission may specify from time to time. Thereafter,
the details of such foreign qualified allied and healthcare professional will be uploaded on
the Central Register.
(e) Upon alteration of the Central Register with the relevant details of the foreign qualified
allied and healthcare professional, the State Register of the concerned State, which such
professional has indicated in its application form as its State of residence, shall also be
automatically updated without payment of any additional fees. Where there is no State
Council in a Union Territory or State, the concerned State Register shall be updated once
it has been set up under these Regulations and the provisions of Regulation 13(d), (e) and
(f) shall apply mutatis mutandis.

Page 16 of 22
23. Temporary Registration of Foreign Qualified Allied and Healthcare Professional
(a) A foreign qualified allied and healthcare professional shall be allowed to obtain a Temporary
Registration for such purposes and subject to such conditions and in the manner as prescribed
below.
(b) A foreign qualified allied and healthcare professional shall be considered eligible to apply
for a Temporary Registration, only if they have:
(i) Obtained a recognized foreign allied and healthcare qualification recognized by the
Commission in the Institutions Regulations under Section 39(1) of the Act.
(ii) Obtained a foreign allied and healthcare qualification within or after such date as may be
notified by the Central Government under Section 39(3) and 39(4) of the Act.
(iii) Completed the relevant equivalency credential evaluation, as may be prescribed by the
Commission under Section 39(1) of the Act (if applicable).
(iv) Qualified the relevant exit examination, as may be prescribed by the Commission under
Section 11(1)(h) of the Act (if applicable).
(v) Complied with all other relevant immigration related requirements under the Act.
(vi) Such other requirements as may be specified by the Commission from time to time.
(c) A Temporary Registration may be granted to an eligible foreign allied and healthcare
professional for a specific period for the following purposes only:
(i) Pursuing any allied and healthcare education at the postgraduate level or specialty level,
as recognized under the Act.
(ii) Fellowship/ certificate programmes/ clinical research/ clinical training/ hands-on
workshop/ observership for enhancing skill and competence through training or academic
programmes conducted in any Recognized Institution in India.
(iii) Expert visit for providing the training in techniques / procedures / workshop required in
various areas of the allied and healthcare professions.
(iv) Voluntary service - visiting as an allied and healthcare professional for performing
community service.
(d) Any Temporary Registration granted to a foreign qualified allied and healthcare professional
may be cancelled in case of violation of any conditions specified under the Temporary
Registration or in case of violation of any such other applicable standards of professional
conduct and etiquette or the code of ethics by the allied and healthcare professional, as may
be specified by the Commission from time to time.
(e) The Temporary Registration shall be terminated on the date of expiry mentioned on the
Certificate of Temporary Registration or on the date of expiry of such permit as obtained by
the foreign qualified allied and healthcare professional under applicable immigration related
laws of India, whichever is earlier.
(f) A foreign qualified allied and healthcare professional shall make an application for
Temporary Registration along with such prescribed fees as may be notified by the
Commission from time to time, and the corresponding Certificate of Temporary Registration
shall be granted by the Commission in such form as also may be notified by the Commission
from time to time.

24. Procedure for making application for Temporary Registration:


(a) For Pursuing Postgraduate/ Specialty programmes:
(i) A foreign qualified allied and healthcare professional may be allowed to be admitted to

Page 17 of 22
any postgraduate / specialty programme only upon completion of such equivalency
credential evaluation and exit examination and other requirements as may be prescribed
by the Commission.
(ii) The foreign qualified allied and healthcare professional, upon fulfilling the provisions of
Regulation 24(a)(i), shall apply for a Temporary Registration in the manner as may be
prescribed by the Commission from time to time.
(iii) An application fee Rs. 11,000 / - (eleven thousand rupees only excluding any taxes
payable) or such other amount as may be prescribed by the Commission, shall be payable
in favor of the Secretary to the Commission, along with the application.
(iv) The Commission shall consider the application and satisfy themselves that the applicant
is appropriate for grant of registration in accordance with the criteria set out in Regulation
23 above, and thereafter grant a Temporary Registration to the foreign qualified allied
and healthcare professional for the duration of the relevant post graduate/ specialty
programme as specified by the recognized institution to which they are admitted.
(v) No admission to any recognized institution for any postgraduate / specialty programme
shall be granted to any foreign qualified allied and healthcare professional without having
obtained a Temporary Registration.

(b) Fellowship/Clinical Research/Clinical Training/Observership/Hands on Workshop/


voluntary service.
(i) A foreign qualified allied and healthcare professional may be allowed to do fellowship/
certificate programmes/ clinical research/ clinical training / observership/ hands on
workshop/ voluntary service for enhancing skill and competence through training or
academic programmes under the ambit of a recognized institution, only upon completion
of such equivalency credential evaluation and other requirements as may be notified by
the Commission.
(ii) The foreign qualified allied and healthcare professional, upon fulfilling the provisions of
Regulation 24(b)(i), shall apply for Temporary Registration.
(iii) The foreign qualified allied and healthcare professional shall apply for such Temporary
Registration upon furnishing the following details:
1. Name
2. Professional registration certification (if applicable) for practice conducted
outside India.
3. Information related to programme content, duration, training facilities,
teaching, and infrastructure facilities (details should be available on the website
of the Recognized Institution).
4. Details of fee being charged by the Recognized Institution.
5. Number of participants enrolled per hands on certificate programmes/ clinical
training / observership/ hands on workshop (which shall not exceed 30
individuals at any given time).
(iv) An application fee of Rs. 5,000 / - (five thousand rupees only excluding any taxes
payable) or such other amount as may be prescribed by the Commission, shall be payable
in favor of the Secretary to the Commission, along with the application.
(v) The Commission shall consider the application and satisfy themselves regarding the
accuracy of the application and thereafter grant a Temporary Registration to the foreign
qualified allied and healthcare professional for a maximum period of 12 months and shall

Page 18 of 22
be only limited to participation in the specific programme of the specified recognized
institution.

(c) Expert visit:


(i) Any foreign qualified allied and healthcare professional, enrolled to practice in a foreign
country in accordance with the applicable laws of that country, may be invited as a
resource person for any seminar/ conference/ symposia/ lecture in India only with prior
approval of the Commission.
(ii) Such foreign qualified allied and healthcare professional invited for an expert visit shall
be required to furnish the following details for obtaining the approval of the Commission:
1. Name
2. Professional registration certification (as applicable) for conducting practice
outside India.
3. Detail of the event pertaining to the expert visit.
4. Detail of the entity organizing the expert visit.
5. Dates and duration of the expert visit.
(iii)The Commission shall grant an approval for the expert visit within 15 days of receipt of
the information specified in Regulation 24(c)(ii) and in such manner as may be notified
by the Commission.

25. Grant of Temporary Registration to sponsored foreign allied and healthcare professional
(a) A foreign national who is enrolled in their country as an allied and healthcare professional
or such similar professional in accordance with the applicable laws of that country and who
has a sponsor in India, may also obtain Temporary Registration under Regulation 23 in the
manner prescribed and for the purposes specified below.
(b) The procedure for making an application for Temporary Registration under Regulation 24
shall apply mutatis mutandis to sponsored foreign allied and healthcare professionals as well.
Provided that:
(i) The rights of the sponsored foreign allied and healthcare professionals in India will be
subject to the provisions of the Foreigners Act and the conditions specified in the
Certificate of Temporary Registration granted to any foreign national, and shall be
subject to the guidelines and notifications issued by the Ministry of Home Affairs in this
regard.
(ii) The entity or institution inviting a sponsored foreign allied and healthcare professional
into India or admitting them into a post graduate course or offering them any fellowship/
certificate programmes/ clinical research/ clinical training / observership/ hands on
workshop/ voluntary service under Regulation 24 shall be responsible for the conduct
of such sponsored foreign allied and healthcare professionals.
(iii)The Temporary Registration granted to a sponsored foreign allied and healthcare
professional may be cancelled, if they breach any provision of the Act, Rules or
Regulations or is found to be involved in activities outside of the recognized categories
of the allied and healthcare profession.
(iv) The foreign national seeking Temporary Registration shall possess a valid visa as
prescribed by the Government of India.
(v) The Temporary Registration shall be co-terminus with the Indian visa held by the
foreign national, whichever expires earlier.

Page 19 of 22
26. Issuance of good standing certificate
(a) Any registered allied and healthcare professional, who is required to obtain a good standing
certificate for pursuing any foreign education or carrying out any profession outside India,
shall make an application for the good standing certificate to the relevant State Council with
which they are registered. Provided that in case of a Union Territory or a State where no State
Council is established, the said application for a good standing certificate shall be made to
the Secretary of the Commission.
(b) Any student enrolled in a recognized institution for obtaining a recognized qualification, who
is required to obtain a good standing certificate for pursuing higher education or participating
in student exchange programmes outside India, shall make an application for the good
standing certificate to the Secretary of the State Council of the State where they are
undertaking their education, or to the Commission, as the case may be.
(c) The good standing certificate shall be provided in accordance with such procedure and in
such format as may notified by the Commission.
(d) The State Council shall periodically intimate the Commission regarding the list of all such
good standing certificates that have been issued, and such intimation shall be made in the
manner as may be notified by the Commission.

CHAPTER VII
Miscellaneous

27. Transitory Provisions


(a) Any person who offers services in any of the recognised categories on or before the
commencement of the Act and has obtained a Provisional Registration under the Provisional
Registration Regulations 2025, shall be allowed to register under the relevant State Register
and the Central Register upon compliance with the procedure as laid down under the
Provisional Registration Regulations 2025.
(b) Any person who fails to obtain the registration in the State Register and the Central Register
in accordance with the Provisional Registration Regulations 2025, shall not be allowed to
practice any recognized category of allied and healthcare profession in India, subject to such
conditions as prescribed under the Provisional Registration Regulations 2025.

28. Penalty
Whoever contravenes any provisions of these Regulations shall be subject to the relevant penalties
prescribed under the Act and where no such appropriate penalty has been prescribed, then under
Section 59 of the Act.

Form B

Page 20 of 22
[See Rule 11 and 12]

APPLICATION FORM FOR REGISTRATION IN THE CENTRAL ALLIED AND HEALTHCARE


PROFESSIONAL ‘S REGISTERAND FOR ISSUANCE OF CERTIFICATE OF REGISTRATION

1. Name of the applicant (In Block Letters)


2. Gender: Male/Female/Others
3. Age:
Photo
4. Parent’s Name (Father & Mother) (Full)
5. Are you a citizen of India
a. by birth or
b. by domicile
If so, state the date of becoming Indian citizen.
6. Date and place of Birth
7. Present Occupation and Address (In block letters) with pin code
8. Permanent Address (In block letters) with pin code
9. Phone number & Email ID
10. Details of payment of fee towards registration
11. Details of educational qualifications prior to/ other than allied and healthcare qualifications
Educational Qualification Name of School/ Board / University Year of Passing
College
Matriculation or equivalent
Senior Secondary or
equivalent
12. Details of Allied and Healthcare qualification for which registration is applied
Name of Name of University Duration of Name & address of Date of admission
Qualification(s) Institute/ the Course hospital/ institute of and passing
College & (with internship
DIGIPIN
internship)

13. Any other remarks/information that applicant wants to submit.

Signature of Applicant
Dated:
Note:
1. The application form should be properly and neatly filled in.
2. Following documents to be duly attested and enclosed with application:
a) Degree or Diploma in original or Provisional Certificate from the University/or Dean of the college that the
applicant is eligible for the award of the degree along with attested copies thereof may be forwarded along with
the Registered Certificate.
b) Duly attested copy of certificate of practical training. (Compulsory rotating internship) issued by Dean of the
college.
c) Provisional registration Certificate in original.
d) Two recent passport size photographs front view.
e) Signature on two self-adhesive slips provided with application.
f) Valid ID proof (Aadhar/Passport/Voter ID)
3. The total registration fee is Rs.2000/- to be paid along with the application as fee for registration.

Page 21 of 22
FORM F
[See Regulation 10(b)]
Application Form for Renewal of Registration in the State Allied and Healthcare Professional‘s
Register and for Issuance of State Certificate of Renewal
1. Name of the Professional:
2. Registration Number:
3. UID Number:
4. Registered recognized qualification(s) with year of obtaining:
5. Address and Phone No. as given in the State Register:
6. Present Address in Block Capitals with Pin code & Phone No.
7. Permanent Address in Block Capitals with Pin Code & Phone No.
8. Payment details:

FORM G
[See Regulation 15(b)]
Application Form for Renewal of Registration in the Central Allied and Healthcare Professional‘s
Register and for Issuance of Central Certificate of Renewal
1. Name of the Professional:
2. Registration Number:
3. UID Number:
4. Registered recognized qualification(s) with year of obtaining:
5. Address and Phone No. as given in the Central Register:
6. Present Address in Block Capitals with Pin code & Phone No.
7. Permanent Address in Block Capitals with Pin Code & Phone No.
8. Payment details:

FORM H
[See Regulation 16(a)]
Application Form for Issuance of Central Duplicate Registration Certificate
1. Name of the Professional:
2. Registration Number:
3. Number of Certificate of Renewal (if applicable):
4. Date of issuance of Certificate of Registration / Certificate of Renewal (as applicable):
5. UID Number:
6. Registered recognized qualification(s) with year of obtaining:
7. Address and Phone No. as given in the Central Register:
8. Present Address in Block Capitals with Pin code & Phone No.
9. Permanent Address in Block Capitals with Pin Code & Phone No.
10. Duplicate of Central Certificate of Registration / Central Certificate of Renewal (specify
as applicable)
11. Payment details:
12. Detailed reason for issuance if duplicate certificates with supporting documentation.

Page 22 of 22
Approved Nomenclature for
Registration of Allied and Healthcare
Professions
Approved Nomenclature for Registration of Allied and Healthcare Professions
Main Category: Medical Laboratory and Life Sciences
Sub-Category: Life Science Professional
Profession Allied and Healthcare Qualifications Abbreviation Duration Mode of
Learning
Biotechnologist 1) MSc Biotechnology (Medical) Regular
Biochemist (nonclinical) 1) MSc Biochemistry (Medical)/ MMLS - Masters of Medical Laboratory Sciences Regular
(Specialization in Medical Biochemistry)
Cell Geneticist 1) MSc Genetics/Life Sciences/Biomedical Sciences/Zoology; Regular
(Cytogenetecist) 2) PhD Cytogenetics/PhD Cytogenomics (Related to Medical Genetics/Cancer Genetics)
Microbiologist 1) MSc Microbiology(Medical) Regular
(nonclinical)
Molecular Biologist 1) PhD Molecular Biology (Related to Medical Biochemistry/Medical Regular
(nonclinical) 2) Microbiology/Pathology/Cancer Genetics/Medical Genetics)
Molecular Geneticist 1) PhD Molecular Genetics (Related to Medical Biochemistry/Medical Regular
2) Microbiology/Pathology/Cancer Genetics/Medical Genetics)

Main Category: Medical Laboratory and Life Sciences


Sub-Category: Medical Laboratory Sciences Professional
Profession Allied and Healthcare Qualifications Abbreviation Duration Mode of
Learning
Cytotechnologist 1) BMLS- Bachelor of Medical Laboratory Sciences MLT (Cytotech) BMLS 4 Years ; Regular
2) MMLS - Masters of Medical Laboratory Sciences (Histology & MMLS 2 Years
Cytopathology)
Forensic Science 1) MSc Forensic Science Technology MLT (Forensic) MSc 2 Years Regular
Technologist
Histotechnologist 1) BMLS- Bachelor of Medical Laboratory Sciences MLT (Histo) BMLS 4 Years ; Regular
2) MMLS - Masters of Medical Laboratory Sciences (Histology & MMLS 2 Years
Cytopathology)
Hemato 1) BMLS- Bachelor of Medical Laboratory Sciences MLT(Hemat) BMLS 4 Years ; Regular
Technologist 2) MMLS - Masters of Medical Laboratory Sciences (Hematology and MMLS 2 Years
Transfusion Medicine)
Approved Nomenclature for Registration of Allied and Healthcare Professions
Medical Lab 1) BMLS- Bachelor of Medical Laboratory Sciences MLT 4 Years Regular
Technologist

Main Category: Trauma, Burn Care and Surgical/ Anaesthesia related technology
Sub-Category: Trauma and Burn Care Professional
Profession Allied and Healthcare Qualifications Abbreviation Duration Mode of
Learning
Advance M.Sc programs in M.Sc programs in 2 years Regular
Care 1)Emergency Medical Services (EMS) 1)Emergency Medical Services (EMS)
Paramedic 2) Trauma Care Management (TCM) 2) Trauma Care Management (TCM)
3) Emergency Care Technology 3) Emergency Care Technology
(ECT) (ECT)
4) Emergency Medical Technology (EMT) 4) Emergency Medical Technology (EMT)
5) Emergency Medicine and Critical Care Technology (EMCCT) 5) Emergency Medicine and Critical Care
6) Accident and Emergency Care Technology (AECT) Technology (EMCCT)
7) Emergency and Trauma Care Technology (ETCT) 6) Accident and Emergency Care Technology
(AECT)
7) Emergency and Trauma Care Technology
(ETCT)
Burn Care , Regular
Technologist
Emergency 1) Advanced Post Graduate Diploma in Emergency Care 1) Advanced Post Graduate Diploma in 2 years Regular
Medical (APGDEC), Emergency Care (APGDEC),
Technologist 2) Post Graduate Program in Emergency Care (PGPEC), 2) Post Graduate Program in Emergency Care
(Paramedic) 3) Advanced Post Graduate Diploma in Emergency (PGPEC),
Care/Emergency medical Services(APGDEMS) 3) Advanced Post Graduate Diploma in
Emergency Care/Emergency medical
Services(APGDEMS)
B.Sc programs in B.Sc programs in 3-4 years Regular
1) Emergency Medical services(EMS) 1) Emergency Medical services(EMS)
2) Trauma Care Management (TCM) 2) Trauma Care Management (TCM)
3) Emergency Care Technology (ECT) 3) Emergency Care Technology (ECT)
4) Emergency and Trauma Care Technology (ETCT) 4) Emergency and Trauma Care Technology
(ETCT)
Approved Nomenclature for Registration of Allied and Healthcare Professions
5) Accident and Emergency care technology (AECT) 5) Accident and Emergency care technology
6) Emergency Medicine and Critical care technology (EMCCT) (AECT)
6) Emergency Medicine and Critical care
technology (EMCCT)
Main Category: Trauma, Burn Care and Surgical/ Anaesthesia related technology
Sub-Category: Surgical and Anaesthesia-related Technology
Profession Allied and Healthcare Qualifications Abbreviation Duration Mode of Learning

Anaesthesia 1) B.Sc. Anaesthesia Technology/ B.Sc. AHS (AT), 1) B.Sc : Bachelor of Science, 1) Bachelors: Minimum Regular
Assistants 2) B.Sc. Operation Theatre and Anaesthesia 2) M.Sc. : Master of Science, 3 years,
and Technology/B.Sc. AHS (OTAT), 3) PhD : Doctor of Philosophy, 2) Bachelors Internship:
Technologists 3) B.Sc. Medical Technology (OT & Anaesthesia), 4) AT : Anaesthesia Technology, Minimum 6 months,
4) B.Sc. Operation Theatre Technology/B.Sc. 5) OTT : Operation Theatre 3) Masters: Minimum 2
AHS(OTT). M.Sc. Anaesthesia Technology, Technology, Years,
Operation 5) M.Sc. Operation Theatre and Anaesthesia 6) OTAT : Operation Theatre and 4) PhD : Minimum 3 Regular
Theatre (OT) Technology, Anaesthesia Technology, Years.
Technologists 6) M.Sc. Medical Technology (OT & Anaesthesia), 7) AHS : Allied Health Sciences
7) M.Sc. Operation Theatre Technology.
8) Ph.D. in Allied Health Sciences / Anaesthesia / OT
Technology.
Endoscopy Regular
and
Laparoscopy
Technologists

Main Category: Physiotherapy Professional


Sub-Category: Physiotherapy Professional
Profession Allied and Healthcare Qualifications Abbreviation Duration Mode of Learning
Physiotherapist 1) Bachelor of Physiotherapy, B.P.T., B.Sc. (Physiotherapy) Regular
2) Bachelor of Science in Physiotherapy (Upto
admission year 1994),
3) Diploma in Physiotherapy (Upto admission year
1994)
Approved Nomenclature for Registration of Allied and Healthcare Professions
Main Category: Nutrition Science Professional
Sub-Category: Nutrition Science Professional
Profession Allied and Healthcare Abbreviation Duration Mode of Learning
Qualifications
Dietician (including Clinical Dietician,Food Service BASIC QUALIFICATION FOR BSc (Honours) Four (4) Years Regular
Dietician) REGISTRATION AND LICENSURE Nutrition and
Nutritionist (including Public Health Nutritionist, EXAM Dietetics
Sports Nutritionist)
1) BSc (Honours) Nutrition and
Dietetics w.e.f 2026-2027.

Main Category: Ophthalmic Sciences Professional


Sub-Category: Ophthalmic Sciences Professional
Profession Allied and Healthcare Qualifications Abbreviation Duration Mode of Learning
Optometrist 1) B.Sc. (Hons) Ophthalmic Techniques (3 years); Regular
(Bachelors) 2) B.Sc. (Hons) Ophthalmic Techniques (4 years);
3) Baccalaureate in Optometry (4 years);
4) B.S. in Optometry (4 years);
5) B.Sc. in Optometry (4.5 years);
6) B.Sc. Optometry Technology (4 years);
7) Bachelor of Optometry (4 years);
8) B.Sc. (Optometry)(3 years);
9) Bachelor of Clinical Optometry (4 years);
10) Bachelor of Science Hon. Ophthalmic Technology (4 years);
11) B.Sc. Ophthalmic Technology (3 years);
12) B.S. Ophthalmic Assistant (4 years);
13) BSc Ophthalmic Dispensing and Vision Science (4 years);
14) B.Sc. Honors In Ophthalmic Techniques (4 years);
15) B.Sc. in Optometry and Ophthalmology Technology (4 years);
16) Bachelor of Ophthalmic Medical Sciences (4 years);
17) Doctor of Optometrical Sciences (5 years); B.Sc. Ophthalmic Techniques
(3 years);
Approved Nomenclature for Registration of Allied and Healthcare Professions
18) B.Sc. Ophthalmic Techniques (4 years); B.Sc. In PMT (Optometry Tech)(4
years);
Optometrist 1) M. Phil in Optometry; Regular
(Masters) 2) Master of Optometry;
3) M.Sc. in Optometry;
4) M.Sc. in Optometry Technology;
5) M.Sc. in Optometry and Ophthalmology Technology;
6) Master of Clinical Optometry;
7) Master of Ophthalmology;
8) Master of Optometry (Practitioners);
9) Integrated Masters with UG;
10) Integrated PhD with Masters (Direct PhD after UG);
Optometrist 1) Doctor of Philosophy (PhD) with theses title related to Eye / Optometry Regular
(Ph.D) / Ophthalmology
Ophthalmic 2) Diploma in Ophthalmic Techniques; Regular
Assistant 3) Diploma in Optometry;
4) Diploma in Refraction and Optometry;
5) Diploma in Orthoptics;
6) Diploma in Ophthalmic Assistant;
7) Diploma in Ophthalmic Technician;
8) Diploma in Optics & Refraction;
9) Diploma in Optometry Technology;
10) Diploma in Ophthalmic Technology; Mid-Level Ophthalmic Personnel;
Diploma of Optometry and Ophthalmic Technology;
11) Diploma in Optometry & Refraction;
12) Diploma in Clinical Technology;
Vision 1) Diploma in Vision Technician Regular
Technician
Approved Nomenclature for Registration of Allied and Healthcare Professions
Main Category: Occupational Therapy Professional
Sub-Category: Occupational Therapy Professional
Profession Allied and Healthcare Qualifications Abbreviation Duration Mode of Learning
Occupational 1) Bachelor of Occupational Therapy, BOT, Regular
Therapist 2) Bachelor of Science in Occupational Therapy, Bsc ( Occupational
3) Diploma in Occupational Therapy( Up to admission year 1990) Therapy)

Main Category: Community Care, Behavioural Health Sciences and other Professionals
Sub-Category: Community Care
Profession Allied and Healthcare Qualifications Abbreviation Duration Mode of Learning
Environment Regular
Protection
Officer
Ecologist Regular
Community Recognized Qualifications for Registration for Community Health Regular
Health Promoters
promoters 1) BA/BSW Social Work (Regular 3 year Full time), ≥3 years in NGOs
Settings
2) BA/BSW Social Work (Regular 3 year Full time), ≥2 years in Health
Settings
3) MA or MSW Social Work (Generic, Regular 2 year Full time), ≥1 year in
Health Settings
4) MA or MSW Social Work (Any health/counselling related specialization,
Regular 2 year Full time), ≥6 months experience in Health Settings
Occupational Regular
Health and
Safety
Officer
(Inspector)
Approved Nomenclature for Registration of Allied and Healthcare Professions
Main Category: Community Care, Behavioural Health Sciences and other Professionals
Sub-Category: Psychology Professionals
Profession Allied and Healthcare Qualifications Abbreviation Duration Mode of Learning
Psychologist (Except REGULAR REGISTRATION CATEGORY Psychologist (Except B.Psych. (Bachelor Bachelor's- 4 years Regular
Clinical Psychologist Clinical Psychologist covered under RCI for PWD) : of Psychology) (prospective),
covered under RCI (regular program) Masters- 2 years,
for PWD) 1) B.Psych.(Bachelor of Psychology) (regular program) 4 years + PsyD / PhD- 3-5 years
program + M.Psych. (Masters
2) M.Psych. (Master of Psychology) (regular program) 2 years of Psychology)
program + (regular program)
3) Doctor of Psychology/ Ph.D. in Applied Psychology i.e. Doctor +
of Philosophy (3-5 years) PsyD (Doctor of
Psychology) / PhD
(Doctor of
Philosophy in in
Applied
Psychology)
Approved Nomenclature for Registration of Allied and Healthcare Professions
Behavioural Analyst Recognized Qualifications for Registration For Psychological Regular
Behavioural Analyst for provisional allied health registrations (
Henceforth for regular registration as a psychologist one will
have only one entry point of Psychologist (Except Clinical
Psychologist covered under RCI for PWD) as per international
standards.
Pathway 1: Bachelor's in Psychology (regular)+ :
Pathway 2: Bachelor’s degree in Psychology (regular program) +
5 years’ work experience,
Pathway 3: Master’s degree in Psychology (regular program) +
3 years’ work experience,
Pathway 4: Diploma of at least one-year duration from any
institutions or government institution in Counseling psychology +
5 years’ work experience

Recognized Qualifications for Registration For Integrated


Behaviour Health Counsellor
1) MA or MSW Social Work (Any health/counselling related
Integrated specialization, Regular 2 year Full time), ≥6 months experience in Regular
Behaviour Health Health Settings
Counsellor
Health Educator and Regular
Counsellors Recognized Qualifications for Registration For Health Educator
including Disease and Counsellors including Disease Counsellors, Diabetes
Counsellors,Diabetes Educators, Lactation Consultants
Educators,Lactation 1) MA or MSW Social Work (Any health/counselling related
Consultants specialization, Regular 2 year Full time), ≥6 months experience in
Health Settings
Social workers Recognized Qualifications for Provisional Registration For Regular
including Clinical Medical Social Work
Social Worker, 1) BA or BSW (Regular 3 or 4 year Full time) with less than 2000
Psychiatric Social hours of health credits, <2 years in Health Settings
Worker, Medical 2) MA or MSW (Generic or non-health specializations, Regular 2
Social Worker year Full time) with less than 2000 hours of health credits, <2
years in Health Settings
Approved Nomenclature for Registration of Allied and Healthcare Professions
3) MA or MSW in Medical and Psychiatric Social Work, Clinical
Social Work, Clinical and Community Practice, Public Health or
other health-specific specializations (Regular 2 year Full time), <1
year in Health Settings
4) MA or MSW in Counselling or Medical & Psychiatric Social
Work (Regular 2 year Full time), <1 year in Health Settings
5) MPhil (Post MA or MSW Generic or non-health specializations,
One year Generic MPhil offered by Generic Universities) with less
than 2000 hours of health credits, <2 years in Health Settings
6) PhD (Post MA or MSW Generic or non-health specializations,
≥3 years) without 2000 hours of health credits as part of their UG
or PG course, <2 years in Health Settings
7) Generic MPhil (Post MA or MSW Generic or non-health
specializations, One year Generic MPhil offered by Generic
Universities), <2 years in Health Settings
8) BA in Social Work or Bachelors in Social Work (BSW, Regular 3
or 4 year Full time) with less than 2000 hours of health credits,
<2 years in Health Settings
9) MA or MSW (Generic Social Work or non-health
specializations, Regular 2 year Full time) with less than 2000
hours of health credits, <2 years in Health Settings
10) PhD (Post MA or MSW Generic or non-health specializations,
>3 years PhD course work) with <6 health course credits or with
less than 2000 hours of health credits, <1 year in Health Settings

Recognized Qualifications for Regular Registration For Medical


Social Work
1) MA or MSW Generic Social Work or non-health specializations
(Regular 2 year Full time), ≥5 years in Health Settings
2) MA or MSW in Medical and Psychiatric Social Work, Clinical
Social Work, Clinical and Community Practice, Public Health,
Counselling, Mental Health, or other health-specific
specializations (Regular 2 year Full time), ≥1 year in Health
Settings
3) PhD (Post MA or MSW with Generic or non-health
specializations, ≥3 years Full time Regular from Health
Approved Nomenclature for Registration of Allied and Healthcare Professions
Universities/Institutions). No experience required.
4) MPhil in Clinical Social Work (Hospital based 2 years Regular
full time). No experience required.

For Clinical Social Work


1) MPhil in Clinical Social Work (Hospital based 2 years Regular
full time). No experience required.
2) MPhil in Psychiatric Social Work (Hospital based 2 years
Regular full time as per MHA 2017). No experience required.
For Psychiatric Social Work
1) MPhil in Psychiatric Social Work (Hospital based 2 years
Regular full time as per MHA 2017). No experience required.
Human Recognized Qualifications for Registration For Psychological Regular
Immunodeficiency Human Immunodeficiency Virus (HIV) Counsellors or Family
Virus (HIV) Planning Counsellors for provisional allied health registrations (
Counsellors or Henceforth for regular registration as a psychologist one will
Family Planning have only one entry point of Psychologist (Except Clinical
Counsellors Psychologist covered under RCI for PWD) as per international
standards.
Pathway 1: Bachelor's in Psychology (regular)+ : .
Provisional registration ONLY for anybody who has worked in this
area till the constitution of NCAHP 2021:
Pathway 1: Bachelor’s degree in Psychology (regular program) +
5 years’ work experience,
Pathway 2: Master’s degree in Psychology (regular program) +
3 years’ work experience,
Pathway 3: Diploma of at least one-year duration from any
institutions or government institution in Counseling psychology +
5 years’ work experience

Recognized Qualifications for Registration For Human


Immunodeficiency Virus (HIV) Counsellors or Family Planning
Counsellors
1) BA/BSW Social Work (Generic, Regular 3 year Full time), ≥3
years experience in Health Settings
2) BA/BSW Social Work (Generic, Regular 3 year Full time), ≥2
Approved Nomenclature for Registration of Allied and Healthcare Professions
years experience in Health Settings
3) MA or MSW Social Work (Generic, Regular 2 year Full time), ≥1
year experience in Health Settings
4) MA or MSW Social Work (Any health specialization, Regular 2
year Full time), ≥6 Months experience in Health Settings
Mental Health Recognized Qualifications for Registration For Psychological Regular
Support Workers Mental Health Support Workers for provisional allied health
registrations ( Henceforth for regular registration as a
psychologist one will have only one entry point of Psychologist
(Except Clinical Psychologist covered under RCI for PWD) as per
international standards.
Pathway 1: Bachelor's in Psychology (regular)+ .
Pathway 1: Bachelor’s degree in Psychology (regular program) +
5 years’ work experience,
Pathway 2: Master’s degree in Psychology (regular program) +
3 years’ work experience,
Pathway 3: Diploma of at least one-year duration from any
institutions or government institution in Counseling psychology +
5 years’ work experience

Recognized Qualifications for Registration For Mental Health


Support Workers
1) BA/BSW Social Work (Regular 3 year Full time), ≥3 years in
NGOs Settings
2) BA/BSW Social Work (Regular 3 year Full time), ≥2 years in
Health Settings
3) MA or MSW Social Work (Generic, Regular 2 year Full time), ≥1
year in Health Settings
4) MA or MSW Social Work (Any health/counselling related
specialization, Regular 2 year Full time), ≥6 months experience in
Health Settings
Expressive 1) Bachelors or Masters in Movement Therapy (including Art, Regular
Movement Therapist Dance, and Movement Therapist or Recreational Therapist)
(including Art, 2) Any Bachelors or Masters and Certificate or Diploma in
Dance, and Movement Therapy (including Art, Dance, and Movement
Approved Nomenclature for Registration of Allied and Healthcare Professions
Movement Therapist Therapist or Recreational Therapist)
or Recreational
Therapist) Recognized Qualification for Expressive Movement Therapist
(including Art, Dance, and Movement Therapist or Recreational
Therapist) for provisional allied health registrations (
Henceforth for regular registration as a psychologist one will
have only one entry point of Psychologist (Except Clinical
Psychologist covered under RCI for PWD) as per international
standards.
Pathway 1: Bachelor's in Psychology (regular)+
Internships in the fourth year of Bachelor's in expressive arts
Master's in Psychology (regular)+ 1 year work experience in
expressive psychological therapy
Pathway 2: Bachelor’s degree in Psychology (regular program) +
5 years’ work experience,
Pathway 3: Master’s degree in Psychology (regular program) +
3 years’ work experience,
Pathway 4: Diploma of at least one-year duration from any
institutions or government institution in Counseling psychology +
5 years’ work experience

NOTE: Pathways 2,3,4 will cease to exist 2025 onwards and is


valid only for retrospective provisional registration only and for
those working till 2025.

Recognized Qualifications for Registration For Movement


Therapist (including Art, Dance, and Movement Therapist or
Recreational Therapist)
1) BA/BSW Social Work (Regular 3 year Full time), with certificate
or diploma course in art, dance, movement or recreation
therapy, ≥1 year in NGOs Settings
2) BA/BSW Social Work (Regular 3 year Full time), with certificate
or diploma course in art, dance, movement or recreation
therapy, ≥6 months in Health Settings
3) MA or MSW Social Work (Generic, Regular 2 year Full
time),with certificate or diploma course in art, dance, movement
Approved Nomenclature for Registration of Allied and Healthcare Professions
or recreation therapy, ≥6 months in Health Settings
4) MA or MSW Social Work (Any health/counselling related
specialization, Regular 2 year Full time), with certificate or
diploma course in art, dance, movement or recreation therapy,
≥6 months in Health Settings
Palliative Care Request Dietician (including Clinical Dietician, Food Service
Professionals (A Dietician)
Multidisciplinary
Work) Recognized Qualifications for Registration For Psychological
Palliative Care Professionals for provisional allied health
registrations for provisional allied health registrations (
Henceforth for regular registration as a psychologist one will
have only one entry point of Psychologist (Except Clinical
Psychologist covered under RCI for PWD) as per international
standards.
Pathway 1: Bachelor’s degree in Psychology (regular program) +
5 years’ work experience,
Pathway 2: Master’s degree in Psychology (regular program) +
3 years’ work experience,
Pathway 3: Diploma of at least one-year duration from any
institutions or government institution in Counseling psychology +
5 years’ work experience
Regular

Recognized Qualifications for Registration For Palliative Care


Professionals
1) MA or MSW Social Work (Generic, Regular 2 year Full time), ≥2
year in Health Settings
2) MA or MSW Social Work (Any health/counselling related
specialization, Regular 2 year Full time), ≥1 year experience in
Health Settings
3) MPhil in Clinical Social Work (Hospital based 2 years Regular
full time). No experience required.
4) MPhil in Psychiatric Social Work (Hospital based 2 years
Regular full time as per MHA 2017). No experience required.
Approved Nomenclature for Registration of Allied and Healthcare Professions
Acupuncture
Professionals

Main Category: Medical Radiology, Imaging and Therapeutic Technology Professional


Sub-Category: Medical Radiology, Imaging and Therapeutic Technology Professional
Profession Allied and Healthcare Qualifications Abbreviation Duration Mode of Learning
Medical 1) Post M.Sc. Diploma Course in Radiological Physics 1) Dip RP, All PG Courses with 2 Regular
Physicist 2) M.Sc (Medical and Radiological Physics), 2) M. Sc MRP years Duration
3) M.Sc in Medical Physics / Diploma in Radiology Physics after 3) M. Sc MP /DRP
4) M.Sc (Physics), 4) M.Sc RP
5) M.Sc. (Radiological Physics) , 5) M.Sc RP
6) M.Sc.(Radiation Physics), 6) M. Sc MRP
7) M.Sc.( Medical Radiation Physics), 7) M. Sc MRP
9) M.Sc (Medical and Radiological Physics), 8) M. Sc MP
10) M.Sc Medical Physics
Nuclear 1) For NM Technologists: BSc. (Nuclear Medicine) 1) B. Sc, NM, 3/4 years Regular
Medicine 2) For NM Physicist: MSc (Nuclear Medicine) 2) M. Sc NM 2 years
Technologist
Radiology and 1) BSc MT Xray BSc. Medical Technology X Ray (Combined 1) B. Sc, MT, 2 years / 3 years Regular
Imaging course Radiodiagnosis and Radiotherapy) 2) BSc RD&ITech 3 yrs
Technologist 2) BSc RD&ITech BSc. Radiodiagnosis and Imaging Technology 3) BSc MRT 3 yrs/4 yrs
[Diagnostic 3) BSc MRT Bachelors in Medical Radiation Technology 4) BSc MR&DI All Degree courses
Medical 4) BSc MR&DI B.Sc. Medical Radiology and Diagnostic Imaging 5) BSc MR&DI 3 years Regular Plus 1
Radiographer, (MR & DI) 6) BSc RD&RT year Internship
Magnetic 5) BSc RD&RT B.Sc. Radio diagnosis & Radiotherapy 7) BMRIT
Resonance 6) BMRIT Bachelor of Medical Radio diagnosis and Imaging 8) BSc
Imaging (MRI), Technology (Radiography)
Computed 7) BSc (Radiography) B.Sc. In Radiography 9) BRIT
Tomography 8) BRIT B.Sc. Radiological Imaging Technology 10) BMRIT
(CT), 9) BMRIT B.Sc. Medical Radio Imaging Technology 11) BMIT
Mammographer, 10) BMIT Bachelor of Science in Medical Imaging Technology 12) BMRIT
Diagnostic 11) BMRIT B.Sc. in Medical Radiology & Imaging Technology 13) BRIT B. Sc Hons with 4 years
Medical 12) BRIT B.Sc. Radio Imaging Technology 14) BMRIT (hons) Duration
Sonographers] 13) BMRIT (hons) B.Sc. (Hons) Radiology & Imaging sciences 15) B.Sc. RIT
Approved Nomenclature for Registration of Allied and Healthcare Professions
Technology 16) BMRIT
14) B.Sc. RIT B.Sc. Radiology &Imaging Technology 17) BMIRT
15) BMRIT Bachelor in Medical Radiology and imaging 18) BRIT
Technology( 3 Years + 1 yr internship) 19) BMIT(Hons)
16) BMIRT BSc. Medical Imaging Technology & Radiotherapy 20) Integrated BSc
Technology (Hons With Diploma/PG
17) BRIT Bachelor of science in Radiology & Imaging Technology research) Diploma/Advance
18) BMIT(Hons) BSc. (Hons) Medical Imaging Technology 21) BSc. MRIT Diploma Courses
19) Integrated BSc (Hons With research) Integrated BSc (Hons 22) BSc.(Hons) with 2 years Duration
With research) MRIT
20) BSc. MRIT BSc. Medical Radiography & Imaging Technology 23) BSc. RIST
21) BSc.(Hons) MRIT BSc. (Hons) Medical Technology in 24) BSc. MIT
Radiography 25) BSc. RT
22) BSc. RIST BSc., Radiology & Imaging Sciences Technology 26) BSc. RIT
(3yrs course + 1 yr internship) 27) BSc. RIT )
23) BSc. MIT BSc. Medical Imaging technology 28) BSc. MIT (hons) Integrated course with 5
24) BSc. RT BSc. Radiography Technology- 4 years including 1 29) BSc. RIT years duration
year internship 30) BSc. RMIT
25) BSc. RIT BSc., Radiology &Imaging Technology Duration: (3 31) BSc.MT (Radio
years + 1 Year Internship) Diagnosis)
26) BSc. RIT BSc. - Radiography and Imaging Technology-RIT 32) BSc.MTR(Hons)
(3+1 Years) 33) BMRIT
27) BSc. MIT (hons) BSc. (hons) Medical Imaging Technology 34) B. Sc RIT
28) BSc. RIT BSc. RADIOGRAPHY IMAGING TCHNOLOGY 35) PGDRIT
29) BSc. RMIT BSc. RADIOGRAPHY and Medical IMAGING 36) ADRIT
TCHNOLOGY 37) B. Sc RIT
30) BSc.MT (Radio Diagnosis) BSc Medical Technology (Radio- 38) DRIT
diagnosis) 39) M.Sc. RIT
31) BSc.MTR(Hons) BSc (Hons) Medical Technology in (Integrated)
Radiography 40) DRIT
32) Bachelor in Medical Radiology & Imaging Technology 41) DRIT
33) B. Sc in Radiography & Imaging Technology, 42) DXT
34) Post Graduation Diploma in Radiography & Imaging
Technology
35) Advance Diploma in Radiography & Imaging Technology,
36) B. Sc in Radiology & Imaging Technology,
Approved Nomenclature for Registration of Allied and Healthcare Professions
37) Diploma in Medical Radiology & Imaging Technology,
38) M.Sc. Radiology Imaging Science Technology (Integrated)
39) Diploma in Radiography and Imaging Technology
40) Diploma in Radiology & Imaging Technology
41) Diploma in X ray Technology
Radiotherapy 1) B. Sc Radiotherapy Technology B. Sc RT 3/4 years Regular
Technologist 2) Diploma in Radiotherapy Technology DRT 2 years
Dosimetrist 1) No Specialised Course is available Regular

Main Category: Medical Technologists and Physician Associate


Sub-Category: Biomedical and Medical Equipment Technology
Profession Allied and Healthcare Qualifications Abbreviation Duration Mode of Learning
Biomedical 1) Bachelor's Degree (4 years) - Bioelectronics Engineering, Regular
Engineer Biomedical Engineering,
Biomedical and Robotic Engineering, Biomedical
instrumentation, Computer Science and Medical Engineering,
Electronics and Communication Engineering (Bio-Medical
Engineering), Medical Electronics Engineering

2) Masters Degree (2 years) - Bio Electronics


Biomedical Electronics, Biomedical Engineering, Biomedical
instrumentation, Biomedical Instrumentation and Signal
Processing, Biomedical Signal Processing and instrumentation,
Medical Electronics, Clinical Engineering

3) BSc (3 years)
4) MSc (2 years),
5)MSc Applied (2 years)
6) Biomedical Instrumentation,
7) Medical Instrumentation
Medical 1) Biomedical Electronics, Regular
Equipment 2) Biomedical Engineering,
Technologist 3) Biomedical instrumentation,
Approved Nomenclature for Registration of Allied and Healthcare Professions
4) Instruments and Medical Equipment,
5) Medical Electronics Engineering,
6) Medical Electronics
Main Category: Medical Technologists and Physician Associate
Sub-Category: Physician Associate or Physician Assistant
Profession Allied and Healthcare Qualifications Abbreviation Duration Mode of Learning
Physician 1) B.Sc Physician Assistant or Associate and Bachelor of Physician Regular
Associates Assistant or Associate (4 years)
2) Bachelor of Physician Assistant (3years, upto admission year 2021)
3) Post graduate Diploma in Physician Assistantship (2 years, upto
admission year 1993)
4) Master or Vocational Science in Physician Assistant (2 years, upto
admission year 1995)
5) Master of Philosophy in Physician Assistant (3 years, upto
admission year 2000)
6) Master of Science in Allied Health Sciences (Physician Assistant)
(3.6 years, upto admission year 2021)
7) Master of Science in Allied Health Sciences (3.6 years, upto
admission year 2012)
8) Advanced PG Diploma in Physician Assistant (2 years, upto
admission year 2020)
9) PG Diploma Physician Assistant (3 years, upto admission year
2010)
10) Physician Assistant-Two Year PG Diploma (2 years, upto admission
year 2017)
11) Master of Science in Physician Associate (2 years, upto admission
year 2025)
12) Master of Science (Physician Associate) (2 years, upto admission
year 2025)
13) Master of Science (Physician Assistant) (2 years, upto admission
year 2025)
Approved Nomenclature for Registration of Allied and Healthcare Professions
Main Category: Medical Technologists and Physician Associate
Sub-Category: Cardio-vascular, Neuroscience and Pulmonary
Profession Allied and Healthcare Qualifications Abbreviation Duration Mode of Learning
Cardiovascular Technologists Regular

Perfusionist Regular

Respiratory Technologist Regular

Electrocardiogram (ECG) Regular


Technologist or
Echocardiogram (ECHO)
Technologist
Electroencephalogram (EEG) Regular
or Electroneurodiagnostic
(END) or Electromyography
(EMG) Technologists or Neuro
Lab Technologists or Sleep
Lab Technologists

Main Category: Medical Technologists and Physician Associate


Sub-Category: Renal Technology Professional
Profession Allied and Healthcare Qualifications Abbreviation Duration Mode of Learning
Dialysis 1) Bachelor of Dialysis Therapy Technology and Master of 1) BDT, 1) UG: 4 Years Regular
Therapy Dialysis Therapy, 2) MDT, (Including One year
Technologists 2) B.Sc. Allied Health Sciences (Renal Dialysis Technology), 3) B.Sc. AHS (RDT), of Internship),
or 3) B.Sc. Allied Health Sciences (Dialysis Technology), 4) B.Sc. AHS (DT), 2) PG : 2 Years, Ph.D. :
4) B.Sc. Renal Dialysis Technology, 5) B.Sc . RDT, Minimum 3 years
5) B.Sc . Dialysis Technology, 6) B.Sc. DT,
6) B.Sc. Dialysis Therapy, 7) B.Sc. RRT&DT,
7) B.Sc Renal Replacement Therapy and Dialysis Technology, 8) M.Sc (RSDT),
8) M.Sc. (Renal Sciences and Dialysis Technology), 9) M.Sc,. RDT,
9) M.Sc. Renal Dialysis Technology, 10) M.Sc. DT,
10) M.Sc. Dialysis Technology, 11) M.Sc. RRT&DT,
Approved Nomenclature for Registration of Allied and Healthcare Professions
11) M.Sc Renal Replacement Therapy and Dialysis Technology, 12) Ph.D (RSDT),
12) Ph.D ( Renal Sciences and Dialysis Technology), 13) Ph.D (DT)
13) Ph.D ( Dialysis Therapy),
14) Ph.D ( Dialysis Technology)
Urology Regular
Technologists

Main Category: Health Information Management and Health Informatic Professional


Sub-Category: Health Information Management and Health Informatic Professional
Profession Allied and Healthcare Qualifications Abbreviation Duration Mode of Learning
Health Information 1) Diploma in Medical Records Science, 1) BMRSc, 1) Diploma & PG Regular
Management 2) Diploma in Medical Records Technology, 2) BSc.HIM, diploma: 2 years,
Professional (Including 3) PG diploma in Medical Record Sciences, 3) BSc.MRT, 2) BSc (UG): 3/4 years,
Medical Records 4) Bachelor of Science in Medical Records Technology, 4) BSc.HIA, 3) MSc. (PG): 2 years
Analyst) 5) BSc. Health Information & Administration, 5) MSc. HHIA,
Health Information 6) BSc Health Information Administration, 6) MSc.HIM Regular
Management 7) B.Sc. Health Information Management,
Technologist 8) BSc in Medical Record Science,
9) M.App.Sc. In Medical Documentation,
10) M.Sc. In Medical Documentation,
11) M.Sc. Hospital & Health Information Administration,
12) MSc. Health Information Management
Clinical Coder No program available Regular

Medical Secretary and No program available Regular


Medical Transcriptionist
Annexure
Application Form
For
Foreign Nationals
Foreign Nationals
Application Form
For
Applied Psychology and Behavioural
Health
APPLICATION FORM FOR RECOGNITION OF
INTERNATIONAL PROFESSIONAL QUALIFICATIONS IN
PSYCHOLOGY
(CREDENTIAL EQUIVALENCE VIA THE INTERNATIONAL
APPLICATION ROUTE)
FOR REGISTRATION UNDER THE PSYCHOLOGY PROFESSION
REGULATED BY THE NATIONAL COMMISSION FOR ALLIED
AND HEALTHCARE PROFESSIONS (NCAHP),
AS PER THE COMPETENCY-BASED PSYCHOLOGY
PROFESSIONAL’S CURRICULUM FOR APPLIED AND
BEHAVIORAL HEALTH, Under
MINISTRY OF HEALTH AND FAMILY WELFARE,
GOVERNMENT OF INDIA

 Before completing this application form, please read carefully the following
documents:
(i) Information Note on the Recognition of Non-Indian Professional Qualifications in
Psychology;
(ii) Professional Training requirements in Psychology in India.

 Please share typed soft copy of this form (handwritten application forms will
not be accepted).

 The candidate is required to attach a copy of internship and training hour logs,
and a copy of the education prospectus of where the degree is obtained from.

SECTION A: PERSONAL DETAILS & ELIGIBILITY TO PRACTISE

A1: PERSONAL DETAILS

Surname: Title:

Previous surname, if any:

First name(s):

Date of birth: Day_ _ Month_ _ Year_ _ _ _

Address for correspondence:

__________________________________________

NCAHP: CREDENTIAL EQUIVLANCE IN PSYCHOLOGY PROFESSION |


________________________________________

Email address:

Contact telephone number:

Citizenship:
(Supporting documentation required: See Section I, document no. 1)

NCAHP: CREDENTIAL EQUIVLANCE IN PSYCHOLOGY PROFESSION |


Contact details (name, address, telephone
number, email) of the national competent
authority which should verify that your
qualification meets the standard to practise
in the country in which the qualification
was obtained

A2: ELIGIBILITY TO PRACTISE


Are you eligible to practice as a psychologist in the country in which you obtained
your professional qualification? YES □ NO □
(Supporting documentation required: See Section I, document no. 2)

Statutory Registration

Does statutory registration exist in the country YES □ NO □


which awarded your qualification?

If YES, are you statutorily registered? YES □ NO □


(if YES, please submit a witnessed copy of Registration number:
your registration document if verification
Period of registration:
cannot be undertaken on-line)
Scope of practice:

Please give contact details of registration body


(name, address, email, website)

Membership of professional bodies for psychologists


If you are a member of any psychological societies please give details below:
Name of Society Contact address Membership Membership
number status

NCAHP: CREDENTIAL EQUIVLANCE IN PSYCHOLOGY PROFESSION |


SECTION B: QUALIFICATIONS IN PSYCHOLOGY

Please list all your degrees and qualifications in psychology in chronological order, starting with the first.

Full title of the course as Degree and Start date, Type of study and Name and country of Name and country of
named by the degree grade obtained completion date, assessment method university, institute, accrediting body
awarding authority date awarded college or other degree
(month & year) awarding authority
Undergraduate

Undergraduate

Postgraduate

Postgraduate

Notes about the row headings. Degree and grade obtained: Please give the abbreviated
title of your degree with your honours/pass classification
Full title of the course: Please give the full title of your
For example: BPsych/BA 2(1) Hons, MPsychSc, PhD etc.
degree exactly as shown on the degree certificate,
including such descriptions as Joint Honours or Combined Type of study and assessment method: Full time/part
Studies. time/distance learning. Indicate whether your degree
involved coursework, empirical research or some
combination, and how it was assessed.
For example:
Coursework and examination
60% course and exam, 40%
thesis Research and thesis
Coursework and continuous assessment
SECTION C: UNDERGRADUATE QUALIFICATION IN PSYCHOLOGY

(Supporting documentation required: See Section I, document nos. 3,4,5)

Note: If your undergraduate psychology degree is accredited by the NCAHP, Psychology Professional’s Regulation of
India you do NOT need to complete SECTION C.

Indicate below how you see your education/training in psychology as meeting the requirements in relation to some or all of
the following components. The components are in accord with the NCAHP, Psychology Professional’s Regulation of India
Undergraduate Accreditation Standards 2025.
a. include only courses in psychology (i.e. courses presented in psychology departments or by suitably qualified
psychologists);
b. indicate clearly which courses were taken at an advanced level; and
c. include cross-references to the supporting documentation you have submitted, e.g. the course code from your official
transcripts

Component Information from applicant Transcript course Credits


reference number
Introduction to Psychology
Required component
Definition, goals, and methods of
psychology
Biological bases of behavior (nervous
system, endocrine system)
Sensation and perception
Learning theories (classical, operant,
observational)
Memory processes and forgetting
Motivation and emotion
Intelligence: Theories and assessment
Foundations of Behavioural Health
Required component
Concepts of health and illness
Models of health (biomedical,
biopsychosocial)
Health behaviors and lifestyle
Stress and coping mechanisms
Health promotion and disease
prevention
Role of psychology in health settings

Developmental Psychology
Required Component
Principles of human development
Physical, cognitive, and socio-
emotional development
Development across lifespan:
infancy to old age
Theories of Piaget, Erikson,
Vygotsky
Attachment and parenting styles

Educational Psychology
Required Component
Learning styles and individual
differences
Motivation in educational settings
Classroom management
Assessment and evaluation
Special education need
Component Information from applicant Transcript course Credits
reference number
Theories of Personality
Required component
Psychoanalytic theories: Freud, Jung
Humanistic theories: Rogers, Maslow
Trait theories: Eysenck, Cattell
Social-cognitive theories: Bandura
Assessment of personality

Health Psychology
Required component
Health beliefs and behavior
Patient-practitioner relationship
Chronic illness and management
Pain and its psychological aspects
Behavioral interventions in health

Statistics & Research Methods


Required component
Levels of measurement
Descriptive statistics: mean, median, mode
Inferential statistics: t-test, ANOVA
Correlation and regression
Research designs: experimental,
correlational
Ethical issues in research
School Psychology
Required component
Role of school psychologists
Learning disabilities
Emotional and behavioral issues in children
Assessment tools in schools
Counseling in school settings

Psychopathology
Include areas such as Classification of
mental disorders (DSM/ICD)
Anxiety, mood, and psychotic disorders
Personality disorders
Childhood disorders (ADHD, Autism)
Substance use disorders

Psychological Assessment
Include areas such as: Principles of
psychological testing
Types of tests: intelligence, personality,
aptitude
Reliability and validity
Test administration and interpretation
Report writing
Behaviour Therapy & Counselling
Include areas such as Principles of
behavior therapy
Techniques: Systematic desensitization,
exposure, reinforcement
Cognitive-behavioral therapy basics
Counselling skills and process
Ethics in counseling

Industrial-Organizational Psychology
Include areas such as:
Personnel selection and training
Motivation at the workplace
Leadership and group dynamics
Work stress and coping
Organizational culture

Community Mental Health


Include areas such as:
Concepts and principles of
community mental health
Mental health services and policies
in India
Community-based rehabilitation
Prevention and mental health
promotion
Crisis intervention
Ethics & Professional Issues
Include areas such as:
Ethical principles in psychology
Informed consent and
confidentiality
Professional conduct and
boundaries
Legal issues in psychological
practice
Handling ethical dilemmas

Behavioural Medicine
Include areas such as:
Mind-body relationship
Psychoneuroimmunology
Management of chronic illnesses
Biofeedback and relaxation
techniques
Lifestyle interventions

Child & Adolescent Psychology


Include areas such as:
Developmental psychopathology
Assessment and intervention with
children
Behavioral problems and
management
School refusal and anxiety
Parent management training
SECTION D: POSTGRADUATE QUALIFICATION IN PSYCHOLOGY

(Supporting documentation required: See Section I, document nos. 2.3)

Full title of postgraduate training course:


Course undertaken from: to: (insert month and year)
Number of weeks per year: Year 1 weeks Year 2 weeks Year 3 weeks Year 4 weeks Year 5 weeks
Proportion of total course time allocated to: clinical placement experience %; academic teaching %; other (e.g. research) %
Please give details of supervised placements undertaken during your professional training course.
Note: Experience entered in SECTION D cannot also be entered in either SECTION E or SECTION F.
p c e
Placement setting l e nt
(full name and address of each a m )

1
1
D1: PLACEMENTS DURING TRAINING
Please provide details, for each placement outlined in the previous table your supervised
training experience and skill development in the areas of: a) assessment, b) formulation,
c) written & oral communication, d) therapeutic models used, e) indirect work, f) multi-
disciplinary contact, g) intervention and h) evaluation. Please reference your logbook
when completing this section of the application form. Information on any additional
placements undertaken can be added, as required.

Adult Mental Health

Child and Adolescent Mental Health

Lifespan Intellectual Disability

Specialist Placement

12
D2: RANGE OF PRESENTING PROBLEMS
Please describe the range of presenting problems encountered in each placement.
Placement type Presenting problems
Adult Mental Health

Child and Adolescent


Mental Health

Lifespan Intellectual
Disability

Specialist Placement

D3: THERAPEUTIC MODELS


What were the dominant therapeutic models taught and practiced on your course?

13
D4: ACADEMIC PROGRAMME
Please describe the main topic areas covered including client groups; presenting
problems; assessment; formulation; intervention; research methods and statistics;
service based issues; professional/ethical issues; and social/cultural issues. Cross
reference by giving the course number or code from your official transcripts.

Year 1

Year 2

Year 3

Year 4

Year 5

14
D5: ACADEMIC ASSESSMENT
Please give details of the academic work you submitted during training (indicate
whether each piece was a case-study, essay, research project, presentation or
written/oral exam, thesis).

Title of work Description and approximate word count

15
D6: THESIS
Applicant should supply:

a) the official abstract of your post-graduate thesis

and

b) a structured summary of the thesis comprising 250 to 400 words using the
guidelines below.

Please provide:
 The thesis title, number of words, and date examined.
 Names of examiners and degree for which the thesis was presented.
 Objectives: State the objective of the research and the main hypotheses or
questions addressed.
 Design: Describe the design specifying the number of groups studied, and the
number of occasions on which data were collected from these groups.
 Methods: State if quantitative or qualitative methods were used. Specify the
number and characteristics of participants; the assessment instruments,
psychological tests or special apparatus used; and the procedures followed
during data collection.
 Results: Give the main results. Numerical data may be given briefly.
 Data analysis: State the way qualitative data were processed or the statistics
used to analyses quantitative data.
 Conclusions: State the conclusions from the research and the implications of
these for clinical practice, policy development and further research.

16
D7: EXPERIENCE OF TEACHING/TRAINING/GIVING PRESENTATIONS
DURING TRAINING

Topic Audience Date

17
SECTION E: POST-QUALIFICATION SUPERVISED PSYCHOLOGY PROFESSIONAL EXPERIENCE
(Supporting documentation required: See Section I, document no.11)
If shortfalls in your formal training are identified, post-qualification professional experience carried out under the supervision of a Psychology Professional
can be considered to see if it can address the deficit(s). All relevant information should be entered in the table below and accompanied by documentary
evidence of the experience entered.
It is recognised that training structures differ across countries and if a clinical placement internship is completed post-qualification, details of
such experience can also be provided in this section.

Note: Experience entered in SECTION E cannot also be entered in SECTION D as this section relates to post-qualification experience only.

Work experience Service name, Dates from/to Total Frequency of Name and position Method of assessment
location client group and No. of days supervision of supervisor
(name and address) age ranges
1.

2.

3.

4.
E1: PRESENTING PROBLEMS

Please describe the range of presenting problems encountered in each area of


supervised work experience post qualification.

Supervised Work Experience Presenting Problems/Age ranges


1.

2.

3.

4.

E2: THERAPEUTIC MODELS

What were the dominant therapeutic models practiced during your supervised clinical
experience?

E3: EXPERIENCE OF TEACHING/TRAINING/GIVING PRESENTATIONS


DURING SUPERVISED CLINICAL EXPERIENCE

Topic Audience Date

15
SECTION F: EMPLOYMENT AS A PSYCHOLOGIST
(Supporting documentation required: See Section I, document no.12)
If shortfalls in your formal training are identified, post-qualification professional experience as a practicing psychologist will be considered.
All relevant information should be entered in the table below and accompanied by documentary evidence of the experience entered.

Note: Experience entered in SECTION F could also be reflected in SECTION E where an applicant has been supervised in a post.

Job title Service name, Employment address Dates of Hours per Main duties
client group employment week
and age ranges from/to

Note:
Job title (or occupation): Indicate with a bracket or in some other way any appointments you have held (or hold) concurrently as a psychologist (employment other than as a
psychologist should not be entered on this table).
Dates from/to: Give month and year. It will be assumed that you are not working as a psychologist during any period not accounted for in your employment record.

16
SECTION G: ADDITIONAL INFORMATION

State here any other information you feel is needed to support your application. This could
include information providing additional insight into your psychology training or post-
qualification experience where structures differ to the Irish system. It could also highlight any
Continuing Psychology Professional Development you have undertaken and which may
mitigate gaps in professional training.

PSYCHOLOGY PROFESSIONALS CREDENTIAL EQUIVALENCE: NCAHP, GOI 17


THE NATIONAL COMMISSION FOR ALLIED AND HEALTHCARE PROFESSIONS
(NCAHP)-REGULATED REGISTERED PSYCHOLOGY PROFESSION OF THE
NCAHP, MINISTRY OF HEALTH AND FAMILY WELFARE, GOVERNMENT OF
INDIA RESERVES THE RIGHT TO CONTACT REFEREES DIRECTLY AND TO
SEEK VERIFICATION FROM THE ISSUING AUTHORITY OF DOCUMENTS
SUBMITTED WITH YOUR APPLICATION.

SECTION H: REFEREES

Either the NCAHP, Minister of Health and Family Welfare, Govt. of India (GoI) (which advises
on the recognition of Indian Psychology Professionals’ qualifications) may seek verification of
the information provided by an applicant in relation to (i) professional training and (ii)
subsequent professional experience.

In the table overleaf please provide contact details for two referees (one for each of the areas
outlined above). Appropriate referees would include the course coordinator or supervisor(s)
during your professional training or senior psychologist from your current or most recent
employment.

REFEREE 1

1. Name:

2. Official job title/position:

3. Contact address:

4. Email address:

5. Telephone number:

6. Nature of contact during training/work experience/employment:

PSYCHOLOGY PROFESSIONALS CREDENTIAL EQUIVALENCE: NCAHP, GOI 18


REFEREE 2

1. Name:

2. Official job title/position:

3. Contact address:

4. Email address:

5. Telephone number:

6. Nature of contact during training/work experience/employment:

PSYCHOLOGY PROFESSIONALS CREDENTIAL EQUIVALENCE: NCAHP, GOI 19


SECTION I: SUPPORTING DOCUMENTATION

The documents listed in the table below should be submitted in support of your application*.
 All documents must be no larger than A4 size, must be in English and witnessed in accordance with
the guidelines on the following page.
 Each document provided must be numbered in accordance with the table below. If more than one
document is enclosed in any single category please use sub-numbers (e.g. 1.1, 1.2).
No. Document description Document
enclosed (with
translation, if
applicable)
Yes No
1. Photographic proof of identity and of citizenship e.g. witnessed copy of passport. In
the event of a name difference between your photographic ID and your certificates
of qualification please submit witnessed evidence of such change e.g. marriage
certificate.
2. Documentary evidence showing that your qualification entitles you to practice as a
psychologist in the country in which it was obtained. If your registration/license
specifies an area of practice e.g. Psychology Professional’s, please include this.
Undergraduate Qualification in Psychology
3. Undergraduate degree/diploma.
4. Transcript of all undergraduate examination results showing subjects studied and
grades obtained, duration of course - if part-time, give full-time equivalent.
5. Undergraduate thesis/research abstract.
Postgraduate Qualification in Psychology
6. Postgraduate degrees/diplomas.
7. Transcript of all examination results showing subjects studied and grades obtained,
duration of course (if part-time gives full time equivalent).
8. Full syllabus from your educational institute (this may also be referred to as course
curriculum/programme of study/course of study/course handbook) which sets out the
structure or your course including details of:
(a) course modules;
(b) research requirements;
(c) type of practice placements (nature of the work, duration of each placement,
client groups, ages, numbers, supervision arrangements).
9. Logbook for each practice placement (if available).
10. Postgraduate thesis abstract.
Post-qualification Professional Experience
11. Evidence of supervised post-qualification clinical psychology experience
12. Evidence of employment experience as a practicing psychologist
13. Relevant Continuing Professional Development /CPD documentation can also be
submitted in support of an application. [or Continuing Professional Development, is
the process of tracking and documenting the skills, knowledge, and experiences
gained throughout one's professional career]

PSYCHOLOGY PROFESSIONALS CREDENTIAL EQUIVALENCE: NCAHP, GOI 20


*Documents that can be accessed on-line or provided directly by the relevant authority (regulator/training establishment etc.)
do not require a witnessed copy to be submitted.

PSYCHOLOGY PROFESSIONALS CREDENTIAL EQUIVALENCE: NCAHP, GOI 21


If any of the documents listed in the table on the previous page are not enclosed with your
application (or accessible on-line), please provide an explanation below.

Document No.

Document No.

Document No.

Witnessing of documentation
The Validation Unit does not accept original documents. Photocopies of original documents
should be submitted. The photocopy of each original document must be appropriately witnessed.
The Validation Unit cannot accept photocopies of the witnessed documents.

The signatory must:


a) SEE the original document and sign to that effect on the photocopy;
b) STATE that the photocopy is a true copy of the original document which has not been
altered in any way, by writing “This photocopy is a true copy of the original document
which has not been altered in any way” on the photocopy;
c) PRINT their name, position and contact address and telephone number on the
photocopy;
d) confirm that they are not a relative of the applicant;
e) DATE the photocopy; and
f) sign the photocopy using BLUE ink.

Translation of documentation
Documents which are not in English must be accompanied by an authenticated translation.

PSYCHOLOGY PROFESSIONALS CREDENTIAL EQUIVALENCE: NCAHP, GOI 22


PSYCHOLOGY PROFESSIONALS CREDENTIAL EQUIVALENCE: NCAHP, GOI 23
SECTION J: DECLARATION

Any recognition granted on the basis of fraudulent or falsified information, material misrepresentation or
misstatement designed to mislead shall be invalid. The onus for ensuring the full and accurate disclosure of
information rests with the applicant.

● I declare that the information given in this document and in all attached documentation is true and
accurate.

● I declare that I have read the Department’s privacy statement (https://www.gov.ie/en/organisation-


information/2f7457-department-of-healths-privacy-policy/) and consent to sharing my personal data
with the Psychological Society of Ireland for its expert advice on the recognition of non-Irish
psychology qualifications.

● I declare that I have not made a previous application for validation/recognition as a psychology
professional in India.

 I declare that I am eligible to practice as a psychology professional in the country in which my


professional psychology qualification was obtained.

● I declare that I have not been found guilty by any statutory registration/licensing body or professional
body having jurisdiction in the matter of any professional misconduct within the scope of my
profession as a psychologist resulting in the imposition of any suspension, fine, penalty or disciplinary
measure.

● I declare that, subject to my qualifications being recognised, I am fit to practice as a psychologist in


India.

● I understand that failure to disclose full information, or any deliberate misrepresentation of


information, is a serious matter and will invalidate my application.

 I understand that I may be required to submit further documentary evidence in support of any
particulars given by me on my application form.

 I understand that any false, misleading or incomplete information submitted by me will result in the
revocation of the recognition of my qualifications.

 I agree to notify the Department of Health in writing, of any change of personal details, e.g. change
of surname or address, as and when any such changes occur.

 I agree that the Department of Health and/or the Psychological Society of Ireland may seek
verification from the issuing body of documentation submitted with my application.

Note: Failure to sign this declaration will render the application invalid

Name of Applicant: (block capitals or typed)

Signature of Applicant:

Date:

2
Please strikethrough this option if a previous application has been submitted for recognition.

PSYCHOLOGY PROFESSIONALS CREDENTIAL EQUIVALENCE: NCAHP, GOI 24


PSYCHOLOGY PROFESSIONALS CREDENTIAL EQUIVALENCE: NCAHP, GOI 25
COMPLETED APPLICATION FORM, SUPPORTING DOCUMENTATION AND
SCRUTINY FEE

BEFORE SUBMITTING YOUR APPLICATION, PLEASE ENSURE THAT ALL OF


THE FOLLOWING CONDITIONS HAVE BEEN MET

 All relevant sections of the application form have been completed in typed text and
signed.
 All numbered supporting documents as set out in Section I are submitted or can be
authenticated on-line (or if not, an explanation is provided).
 All supporting documentation has been witnessed in accordance with the guidelines
in Section I (do not enclose original documentation).
 Authenticated translations of documents which are not in the English language are
provided in addition to a true copy of the original document.
 Application form and supporting documentation submitted in hard copy are in
loose-leaf and are not stapled, bound or in cellophane folders. An application can
also be submitted in PDF format via e-mail to the Validation Unit.
 The scrutiny fee of Rs. 1000/- (cheque, postal order or bank draft made payable to
NCAHP, Ministry of Health and Family Welfare, India and drawn on an Indian
bank; evidence of bank transfer payment to the PsSI; or credit card details) must
accompany the completed application.

NOTE for the candidates: To verify the details provided in your application, background checks
will be conducted. These checks may be carried out by NCAHP, its agents, or their representatives.
The information you have submitted may be shared with government agencies and third parties,
including employers, referees, and professional bodies, as part of this process.

Health and disability

You are asked to provide us with information about your health if it may affect your fitness to
practice. We are not asking whether you are ‘healthy’, as many health conditions can be managed
appropriately so that the applicant is still able to practice

their profession safely and effectively.

We recognise that a disability may not be seen as a health condition but we also need information
about any disability that may affect your fitness to practice.

Having a disability should not be seen as a barrier to joining the HCPC’s Register as you are a
health and care professional in the country you qualified in. We have produced guidance called A
disabled person’s guide to becoming a health and care professional which you should refer to for
more information before you answer the questions in this section.
Final declaration

We will only process your application if you have completed this declaration. You should make
sure that you fully understand the declaration before signing it.

Background checks

We will conduct background checks to verify the information provided in your application. These
may be undertaken by the NCAHP, or its representatives. The information you provide may be
disclosed to government agencies and other third parties such as employers, referees and
professional bodies.

Character

When we look at whether an applicant is of ‘good character’ we take account of conduct in the past
which indicates that the applicant may be dishonest, untrustworthy, capable of harming service
users or to act in a manner which undermines public confidence in the profession in question.

Applications should be sent to:

Notes:
1. .Recognition of professional qualifications is not an endorsement or a declaration of the applicant’s suitability
for employment in any particular post, which is a separate matter for assessment by the employer in the normal
way in accordance with the prescribed selection criteria.
2. We recommend that you keep a full record of your application. The National Commission for Allied and
Healthcare Professions (NCAHP) Ministry of Health and Family Welfare, Government of India .cannot
accept responsibility for any loss that may occur. It will retain documentation on file and cannot photocopy
documentation for applicants.

PSYCHOLOGY PROFESSIONALS CREDENTIAL EQUIVALENCE: NCAHP, GOI 27


Foreign Nationals
Application Form
For
Anaesthesia and Operation Theatre
Technology
CREDENTIAL EQUIVALENCE & ONLINE REGISTRATION FORM FOR
FOREIGN-TRAINED OpERATION ThEATRE & ANESThESIA
TEChNOLOGISTS

🔹 SECTION A: PERSONAL & CONTACT DETAILS

 Full Name (as in Passport): ______________________________________


 Date of Birth: _______________ Gender: ☐ Male ☐ Female ☐ Other
 Nationality: __________________
 Passport Number & Expiry Date: _________________________________
 Permanent Address: ____________________________________________
 Current Correspondence Address (if different): ______________________
 Email ID: __________________________
 Mobile Number (with country code): __________________________
 Alternate Contact Number / WhatsApp: _________________________

🆘 Emergency Contact Information

 Name of Emergency Contact Person: ___________________________


 Relationship to Applicant: ___________________________
 Contact Number: ___________________________
 Email (if available): ___________________________
 Permanent Address (if different from applicant): _____________________

🔹 SECTION B: ACADEMIC QUALIFICATIONS

Full Title of the Academic Award Completion Date


Start Date
Course (Degree/Diploma) Date Awarded
(MM/YYYY) (MM/YYYY) (MM/YYYY)

Grade Type of Study (e.g., Full- Method of Assessment (e.g., Written


Obtained time/Part-time) Exams, Clinicals)

Name of University / Institute / Country of Awarding Name of Accrediting Body /


College Institution Authority
📎 Attach supporting documents: Degree certificate, transcript, syllabus outline, clinical
training summary, log books etc.

🎓 Additional Qualifications / Certifications

Qualification / Course Institution / Completion


Country Duration Remarks
Title Provider Date

(MM/YYYY)

🗂️ Include short-term courses, online certifications (e.g. Coursera/WHO), emergency training


(BLS, ACLS), specialization workshops, or bridge modules.

📎 Attach certificates or proof of completion for each entry.

 Internship / Clinical Rotations (if any):

(Attach Degree Certificates, Transcripts, and Program Curriculum)

🔹 SECTION C: CORE COMPETENCY MAPPING

Indian Competency Course/Module Evidence


Credits/Hours Remarks
Domain Abroad Attached

OT Setup & Protocols ☐ Transcript ☐


Logbook
Anesthesia Equipment
Management
Pre-/Intra-/Post-operative
Care
Biomedical Instrumentation
Handling
Drug Handling &
Pharmacology Basics
Emergency Response & CPR
Ethics & Professionalism in
Clinical Setting

🗒️ Provide detailed course outlines or supervisor attestations for verification.


🔹 SECTION D: PROFESSIONAL EXPERIENCE

Designation Institution Country Dates (From–To) Core Duties

 Supervisor Name & Contact: ____________________________________


 (Attach Experience Letters, Job Descriptions, & Work Certificates)

🔹 SECTION E: REGISTRATION OBJECTIVE & REGION PREFERENCE

 Purpose of Registration:
☐ Clinical Work ☐ Teaching ☐ Fellowship ☐ Observership
☐ Higher Studies / Academic Bridging (e.g., M.Sc., PG Diploma, Fellowship)
 Preferred States for Practice: ____________________________________
 Languages Known: _____________________________________________
 Duration of Registration Sought: ☐ 1 year ☐ 3 years ☐ 5 years

🔹 SECTION F: LICENSES & REGISTRATIONS ABROAD

 Name of Authority (e.g., HCPC, DHA, etc.): _______________________


 License Number & Validity: ___________________________
 Professional Examinations Passed (if any): _______________________

(Attach copies of registration certificates or verification reports)

🔹 SECTION G: DOCUMENT CHECKLIST

Document Description Attached Verified


Passport Copy (PDF/JPEG) ☐ ☐
Visa Copy (PDF/JPEG) ☐ ☐
Visa Validity Proof (PDF/JPEG) ☐ ☐
Higher Secondary Certificate (PDF/JPEG) ☐ ☐
School Transcripts / Mark Sheets (PDF/JPEG) ☐ ☐
Previous Degree Certificate (PDF/JPEG) ☐ ☐
Degree Transcripts (PDF/JPEG) ☐ ☐
Proof of English Proficiency (if applicable) (PDF/JPEG) ☐ ☐
Passport-size Photograph (JPEG/PNG) ☐ ☐
Document Description Attached Verified
Statement of Purpose (PDF) ☐ ☐
Recommendation Letters (PDF/JPEG) ☐ ☐
Payment Receipt (Fee Deposit) ☐ ☐

🔹 SECTION I: APPLICATION FEE DETAILS

 Application Fee Amount (INR): ₹ ______________


 Payment Method:
☐ Credit/Debit Card ☐ Net Banking ☐ UPI ☐ Other: _____________
 Transaction Reference Number: __________________________

🔹 SECTION J: DECLARATION

“I hereby declare that the information provided above is true and accurate to the best of my
knowledge. I understand that providing false information may lead to disqualification from the
admission process.”

 Applicant Signature: __________________________


 Date: ________________

🔹 FOR OFFICE USE ONLY

Field Entry
Registration Number
Date of Registration

Remarks

Verified by (Signature)

Official Seal

🔹 SUBMISSION INSTRUCTIONS

 Submit the completed form online or via the “Submit” button (if in PDF/DOCX format).
 Ensure all mandatory documents are uploaded and fee payment is confirmed.
 For support, contact:
NCAHP Secretariat
NIHFW Campus, 2nd Floor, Baba Gangnath Marg, Munirka, New Delhi – 110067
📞 +91 11 26100352 ✉️ [email protected]
Foreign Nationals
Application Form
For
Dialysis Therapy Technology &
Dialysis Therapy
Registration Form for Foreign Students
Dialysis Therapy (Allied & Healthcare Profession)
Under the National Commission for Allied and Healthcare Professions Act, 2021

1. PERSONAL DETAILS

Field Information

Full Name (as in Passport)

Gender ☐ Male ☐ Female ☐ Other

Date of Birth (DD/MM/YYYY)

Nationality

Passport Number

Passport Issue Date

Passport Expiry Date

Visa Number

Visa Type ☐ Student ☐ Research ☐ Other (Specify):

Visa Issue Date

Visa Expiry Date

2. CONTACT DETAILS

Field Information

Address in Home Country

Address in India (if applicable)

Phone Number (with country code)

Email Address

Emergency Contact Name & Relationship

Emergency Contact Number


3. EDUCATIONAL QUALIFICATIONS & PROFESSIONAL BACKGROUND
(As applicable for registration in Dialysis Therapy profession)

Institution Year of Grade /


Qualification Country
Name Completion %

Higher Secondary / Equivalent


(10+2 with Science)

Diploma / Bachelor's / Master’s


Degree in Dialysis Therapy (or
equivalent)

Clinical Internship / Hands-on


Training Certificate

4. PURPOSE OF REGISTRATION

☐ Undergraduate Admission (if applicable)

☐ Postgraduate Admission (if applicable)

☐ Registration under NCAHP for Provisional / Regular status


☐ Application for Bridge Course (if qualification does not meet NCAHP equivalence)

5. DOCUMENTS TO BE ATTACHED
Please attach self-attested copies of the following (tick as applicable):

• ☐ Passport copy

• ☐ Valid Visa

• ☐ Academic transcripts and degree/diploma certificates

• ☐ Clinical internship / practical training certificate

• ☐ English language proficiency certificate (if medium of instruction is not


English)

• ☐ Admission letter from Indian institution (if enrolling for further studies)

• ☐ Letter of recommendation from parent institution / healthcare organization


(if applicable)

• ☐ Equivalence Certificate (if obtained from Association of Indian Universities –


AIU)

• ☐ Sponsorship / Proof of financial support


• ☐ Passport size photographs (4)

• ☐ Medical fitness certificate

6. DECLARATION
I hereby declare that the information provided is true and complete to the best of my
knowledge. I understand that submission of false or incomplete information may result
in the rejection of my application or cancellation of my registration.
Signature of the Applicant: ____________________
Date: _______________
Place: _______________

7. FOR OFFICE USE ONLY

Item Details

Registration Number

Level of Registration ☐ Provisional ☐ Regular ☐ Pending Equivalence

Remarks

Verified by (Signature)

Seal of Institution / Council

Additional Notes for Foreign Applicants:


• Foreign-trained dialysis therapy professionals must meet the minimum
educational and clinical training standards prescribed by the NCAHP and
respective Professional Council.
• Where equivalence is not automatic, applicants may be asked to undergo a
bridge course or qualify a competency-based exam for
Temporary/provisional/regular registration.
• Language proficiency may be assessed if the course was not taught in
English.
• All documents not in English must be accompanied by a certified English
translation.
Foreign Nationals
Application Form
For
Health Information Management
Proforma for Registration of Foreign Student with Undergraduate
Qualification in Health Information Management Domain.
(To be filled in BLOCK letters by the applicant)
1. PERSONAL DETAILS
Full Name (as in Passport):
Gender: ☐ Male ☐ Female ☐ Other
Date of Birth (DD/MM/YYYY) :
Place of Birth: Nationality:
Passport Number:
Passport Issue Date: Passport Expiry Date:
Visa Number:
Visa Type: ☐ Student ☐ Research ☐ Other
Visa Issue Date: Visa Expiry Date:

2. CONTACT DETAILS
Address in Home Country:
Address in India (if any):
Phone Number (with country code) :
Email Address:
Emergency Contact Name:
Emergency Contact Number:
Relationship with Emergency Contact:

3. EDUCATIONAL BACKGROUND:
UG Qualification Title:
Institution Name:
University:
Country:
Year of Passing:
Enrolment/Roll No:
Grade/CGPA/% of marks
Other Qualification details
Higher Secondary (12th level)
board/affiliation:
Institution name:
Country:
Year of Passing:
Enrolment/Roll No:
Grade/CGPA/% of marks

Secondary (10th level)


board/affiliation:
Institution name:
Country:
Year of Passing:
Enrolment/Roll No:
Grade/CGPA/% of marks

4. WORK EXPERIENCE (If applicable)


Total years of work experience after obtaining UG qualification:
Current Designation: Year of Experience:
Current organization:
Current organization address:

5. PROFESSIONAL REGISTRATION DETAILS:


Name of Program / Course Applied:
Level of Study: ☐ PG ☐ UG ☐ Diploma ☐ Other
Department / Faculty:
Mode of Study: ☐ Full-Time ☐ Part-Time
Duration of Program:
Academic Year:
Admission Through: ☐ Self-Financed ☐ ICCR ☐ Embassy ☐ Other
Other Specify:
____________________________________________________________________
Type of Stay: ☐ Hostel ☐ Rented House ☐ Other
Place of stay Address:

6. DOCUMENTS ATTACHED (Tick all that apply)


☐ Copy of Passport
☐ Copy of Visa
☐ Academic Transcripts / Certificates
☐ Passport Size Photographs (4)
☐ Letter of Admission / Offer Letter
☐ English Language Proficiency Certificate (if applicable)
☐ Equivalence Certificate from AIU (if applicable)
☐ Medical / Fitness Certificate
☐ Proof of Sponsorship / Financial Support

7. DECLARATION
I hereby declare that the information provided above is true and complete to the best of
my knowledge. I understand that any false information or misrepresentation may result
in cancellation of my admission.

Signature of the Student: ____________________


Date: ____________________
Place: ____________________
8. FOR OFFICE USE ONLY
Registration Number :
Date of Registration:
Remarks:
Verified by (Signature):
Office Seal:
Proforma for Registration of Foreign Student with Postgraduate
Qualification in Health Information Management Domain.
(To be filled in BLOCK letters by the applicant)
1. PERSONAL DETAILS
Full Name (as in Passport):
Gender: ☐ Male ☐ Female ☐ Other
Date of Birth (DD/MM/YYYY) :
Place of Birth: Nationality:
Passport Number:
Passport Issue Date: Passport Expiry Date:
Visa Number:
Visa Type: ☐ Student ☐ Research ☐ Other
Visa Issue Date: Visa Expiry Date:

2. CONTACT DETAILS
Address in Home Country:
Address in India (if any):
Phone Number (with country code) :
Email Address:
Emergency Contact Name:
Emergency Contact Number:
Relationship with Emergency Contact:

3. EDUCATIONAL BACKGROUND:
PG Qualification Title:
Institution Name:
University:
Country:
Year of Passing:
Enrolment/Roll No:
Grade/CGPA/% of marks
Other Qualification details
UG Qualification Title:
Institution Name:
University:
Country:
Year of Passing:
Enrolment/Roll No:
Grade/CGPA/% of marks

Higher Secondary (12th level)


board/affiliation:
Institution name:
Country:
Year of Passing:
Enrolment/Roll No:
Grade/CGPA/% of marks

Secondary (10th level)


board/affiliation:
Institution name:
Country:
Year of Passing:
Enrolment/Roll No:
Grade/CGPA/% of marks

4. WORK EXPERIENCE (If applicable)


Total years of work experience after obtaining UG/PG qualification:
Current Designation: Year of Experience:
Current organization:
Current organization address:
5. PROFESSIONAL REGISTRATION DETAILS:
Name of Program / Course Applied:
Level of Study: ☐ PG ☐ UG ☐ Diploma ☐ Other
Department / Faculty:
Mode of Study: ☐ Full-Time ☐ Part-Time
Duration of Program:
Academic Year:
Admission Through: ☐ Self-Financed ☐ ICCR ☐ Embassy ☐ Other
Other Specify:
____________________________________________________________________
Type of Stay: ☐ Hostel ☐ Rented House ☐ Other
Place of stay Address:

6. DOCUMENTS ATTACHED (Tick all that apply)


☐ Copy of Passport
☐ Copy of Visa
☐ Academic Transcripts / Certificates
☐ Passport Size Photographs (4)
☐ Letter of Admission / Offer Letter
☐ English Language Proficiency Certificate (if applicable)
☐ Equivalence Certificate from AIU (if applicable)
☐ Medical / Fitness Certificate
☐ Proof of Sponsorship / Financial Support

7. DECLARATION
I hereby declare that the information provided above is true and complete to the best of
my knowledge. I understand that any false information or misrepresentation may result
in cancellation of my admission.

Signature of the Student: ____________________


Date: ____________________
Place: ____________________

8. FOR OFFICE USE ONLY


Registration Number :
Date of Registration:
Remarks:
Verified by (Signature):
Office Seal:
Foreign Nationals
Application Form
For
Nutrition and Dietetics
NUTRITION SCIENCE PROFESSIONALS FORM FOR FOREIGN NATIONALS

• NAME:
First Name Middle Name Last Name
_________________ __________________ _______________

• GENDER: Male / Female / Others


• DATE OF BIRTH: ___________________
• NATIONALITY: ______________________________________________
• PHONE NUMBER (with country code): ________________________
• E-mail ID: ________________________________ ;
• Identity card NO ( if any)_______________________
• Visa Number : If already holds
• Type of Visa:
• Date of Issue of visa:
• Date of Expiry of Visa:
• NAME OF THE INSTITUTION ( Home Country):
_____________________________________________________
• ADDRESS OF THE INSTITUTION ( Home Country):
__________________________________________________
• INSTITUTION E-MAIL ID WITH NAME OF PERSON RESPONSIBLE ( Home
Country): ______________________________________________________
• INSTITUTION CONTACT NUMBER ( Home Country):
___________________________________________
• TITLE OF PROFESSIONAL COURSE APPLIED FOR IN INDIA:
__________________________________________
• DATE OF COURSE COMMENCEMENT IN INDIA:
____________________________________________
• DATE OF COURSE COMPLETION IN INDIA:
_____________________________________________
• PROFESSIONAL REGISTRATION NUMBER ( if any in Home Country):
___________________________________
• EDUCATIONAL QUALIFICATION ( From 12th Grade onwards till PhD)
YEAR
NAME OF UNIVERSITY OF PERCENTAGE/
Sl. No. DEGREE
INSTITUTION PASSI CGPA
NG
i.
ii.
iii.
iv.

• INTERNSHIP/ CLINICAL TRAINING


SUPERVISING
NAME OF
DIETITIAN
INSTITUTION
Sl. No. DURATION DEPARTMENT NUTRITIONIST
AND
NAME AND
COUNTRY
EMAIL ID
i.
ii.
iii.

• PROFESSIONAL EXPERIENCE
CERTIFI
NAME OF CATE
DATE OF
THE (duly self
Sl. No. DESIGNATION COMMEN DURATION
ORGANISA attested)
CEMENT
TION to be
uploaded
i.
ii.

• DOCUMENT CHECKLIST (Please Check in box)


o Transcript and Degree Certificate ( HSC; Graduation; Postgraduation; PhD)
o Syllabus of Undergraduate programme (duly attested from institution or website)
o Syllabus of Post graduate programme (duly attested from institution or website)
o Internship Completion Certificate ( duly attested by the organisation)
o Professional Registration number ( if any)
o Copy of Passport
o Copy of Visa
o Address Proof
o English Language Proficiency Certificate ( if Applicable)
o Equivalence Certificate ( if applicable)
o Medical/ Fitness certificate with vaccination details
o Proof of sponsorship/ Financial support

• Signature of the Dean/Principal/ Director of the Institute.

• DECLARATION: I here by declare that all information provided above is true and
complete to the best of my knowledge. I understand that any false information or
misrepresentation may result in cancellation of my admission.

Date:
Signature of the Student:
Place:

• OFFICE USE:
• Clinical / Internship/ Field/ Professional Experience: ______________
• Duration: _____________________
• Has the applicant completed clinical under supervision of a qualified Dietitian/Nutritionist?
Yes / No.
• At the time of applicant graduation, the program was approved by a recognized competent
authority/ university
Foreign Nationals
Application Form
For
Optometry
Online Admission Registration Form for Foreign Optometry Students

Instructions:
Please fill out the form completely. All fields marked with an asterisk (*) are mandatory. Ensure
that you upload all required documents to complete your application.

Personal Information:

1. *Full Name:
(First Name, Middle Name, Last Name)
2. *Date of Birth:
(DD/MM/YYYY)
3. *Gender:
o Male
o Female
o Other
4. *Nationality:
(Country of Citizenship)
5. *Passport Number:
(Please attach a copy of your passport)
6. *Contact Information:
o *Email Address:
o *Phone Number:
o Whatsapp / we chat/ Botim Number:
o *Permanent Address:
(Street, City, State, Zip Code, Country)

Educational Background:

7. *Degree Obtained:
(Name of Degree, Year of Graduation. Write NA if applying for under graduation
program)
o Undergraduate program in Optometry:
o Postgraduate Program in Optometry:
8. Duration of the program in years:
o Undergraduate program in Optometry:
o Postgraduate Program in Optometry:
9. Duration of the internship in years:
o Undergraduate program in Optometry:
10. *Previous Education Level (mention year of completion):
o Higher Secondary School / 10+2:
o Undergraduate program in Optometry:
o Postgraduate Program in Optometry:
11. *Institution Name: Name of the institution where you completed your last degree

o Higher Secondary School / 10+2:


o Undergraduate program in Optometry:
o Postgraduate Program in Optometry:

12. *Details of Professional Registration: (Mention name of the optometry regulatory /


statutory body in your country and Registration number, if applicable; Credit mapping of
the program by respective professional council on case to case basis)

13. Additional Qualifications:


(Please list any additional relevant qualifications or certifications)

Course Selection:

11. *Program of Interest:

 Undergraduate (UG)
 Postgraduate (PG)
 PhD

12. *Preferred Course:


(Please specify the course you wish to apply for)

13. *Preferred University/Institution:


(List the universities or institutions you are interested in)

Documents Required:

14. Please upload the following documents:


o *Passport Copy: (PDF/JPEG)
o *Visa Copy: (PDF/JPEG)
o Visa validity: (PDF/JPEG)
o *Previous Higher Secondary School Certificate : (PDF/JPEG)
o *Transcripts/ Mark sheet for school: (PDF/JPEG)
o *Previous Degree Certificate: (PDF/JPEG)
o *Transcripts for degree: (PDF/JPEG)
o Proof of English Proficiency (if medium of instruction was not English):
(PDF/JPEG)
o *Recent Passport-sized Photograph: (JPEG/PNG)
o *Statement of Purpose (SOP): (PDF)
o *Recommendation Letters from previous institution: (PDF/JPEG)

Fee Deposition:

15. *Application Fee:


(Specify the amount, e.g., ₹____________)
16. *Payment Method:

 Credit/Debit Card
 Net Banking
 UPI
 Other (Please specify)

17. *Transaction Reference Number:


(Please enter the reference number of your payment)

Declaration:

18. I hereby declare that the information provided above is true and accurate to the
best of my knowledge. I understand that providing false information may lead to
disqualification from the admission process.

 *Signature:
 *Date:

------------------------------------------------------------------------------------------------------------
FOR OFFICE USE ONLY
 Registration Number :
 Date of Registration:
 Remarks:
 Verified by (Signature):
 Office Seal:
Submission Instructions:

 After completing the form, please click the "Submit" button to send your application.
 Ensure that all required documents are uploaded and the application fee is paid to
complete your application.
 For any inquiries, please contact:

NIHFW Campus, 2nd floor, Baba GangNath Marg, Munirka, New Delhi 110067
Telephone: +91 11 26100352
E-mail: [email protected]
Foreign Nationals
Application Form
For
Physiotherapy
Academic Credentials Request Form- Physiotherapy

Instructions to Applicants:

1. Only Section 1 of the Scholastic Credentials Request Form to be filled by the applicant.
2. The Section 2 and the Appendix 1 to be filled by the School/ Institution/ University.
3. The school/college/institution must be listed as the sender on all envelopes and packaging sent to the
office. If it is not sent directly to the office from the school/institution, it will not be accepted
and will be required to have them resubmitted.

Instructions to Educational Institution:

1. Section 2 of this form must be completed by an authorized academic official, such as the
Registrar/ Principal/ Dean/ Head of the Institution.

2. Place the completed form in an envelope, making sure it is stamped and sealed by the
institution. The institution must also be identified as the sender on the package, including for
courier deliveries.

3. Do not use digital or electronic signatures, stamps, or seals on this form. It must be
completed using your original handwritten signature and the institution’s official stamp and/or
seal, as indicated.

4. Send the sealed envelope directly to State Allied Healthcare council Office address where
the applicant is inclined to work. Do not give the document to the applicant, as we will
not accept submissions that come from the applicant.

 For information about the application process and other required documents please review the
Required Document List (Appendix 2)
 If you have any questions please contact the respective State Allied and Healthcare council.
 The school/college/institution must send the completed form directly to:

Respective State Allied Healthcare council office

address where the applicant is inclined to work

Page 1 of 7
SECTION 1: Document Request Form (To be filled by Applicant as per Passport)

Affix Passport
size Photo here

First Name:

Middle Name:

Last Name:

Maiden name (if applicable): ______________________________________________________________________________

Date of Birth (DD/MM/YYYY): / /

Student Registration/ ID number:

I hereby authorize the release of my educational records to the National Commission of Allied Healthcare
Professions (NCAHP)

Applicant signature Date

Page 2 of 7
Tick √ in appropriate box. If ‘YES’ provide details enclosed with the form:

1) Have you been denied Temporary Study Licensee by your Nation or any other Country? ?

Yes No

2) Have you undergone incidence of Cancellation of Permit by any Country?

Yes No

3) Have you faced any Legal dispute in any Country in this regard?

Yes No

4) Please list the Countries to which had already received similar Permission / License?

i.
ii.
iii.

Declaration by the student:

I hereby declare that:

i. The information provided above is true and complete to the best of my knowledge. I understand that any
false information or misrepresentation may result in cancellation of my admission.

ii. I have fully understood the NCAHP Rules and Regulations, I will not claim this permission / Temporary
License issued, as my right to apply for Regular Registration / Permanent Registration in this Country (India)
and I will exit India once my study and permitted period is completed.

iii. I hereby declare that I have taken all preventive and precautionary Vaccinations, measures and Health
Screening authorized by Indian Embassy. (Copy to be Enclosed)

Name and Signature of the Applicant:

Date: / /

Place:

Page 3 of 7
Section 2:
To be filled by Educational institution and submit State Allied and
Healthcare Council Office

Full Name of person completing this form:

Job title of person completing this form:

Date: (DD/MM/YYYY): / /

Signature

Seal/Stamp

Name of school/educational institution:

Institution Address:

Telephone:

Email:

Page 4 of 7
Student Information:

Student name:

Student date of birth: (DD/MM/YYYY): / / Student Registration/ ID number:

Name of degree/ diploma/ certificate awarded:

Dates of attendance: From: DD/MM/YYYY To: DD/MM/YYYY

Total Duration of the Program: Year Semester

Total Number of Credits earned related to Physiotherapy program:

Date on which degree/ diploma was issued to the student: / /

Language of Instruction:

Minimum Academic Eligibility required for the program:

Did the student transfer to this program from another institution? Yes No

If yes, what institution did they transfer from?

Program Information:

What is the name of the authority legally entitled to accredit your institution/ University?

What is the name of the authority legally entitled to accredit Physiotherapy program at your institution/
University?

Registration number of Council/Equivalent Body in Home Country:

Does this program prepare students for entry-level physiotherapy practice in the country
passed-out ?

Yes No

Can the student work as a physiotherapist immediately following graduation?


Yes No

If no, what other requirements must the student meet to be able to be able to work as a physiotherapist?

For example, are there requirements such as a national exam, internship period, or registration with a

regulatory body or Ministry of Health? Please provide as much information as possible.

Page 5 of 7
APPENDIX 1

Supervised Clinical Practice:

Definition: Supervised clinical practice refers to hands-on, evaluated training as a physiotherapy student within an entry-level program. It involves
gaining real-world experience and participating in diverse professional activities across different settings to develop and apply physiotherapy
knowledge, skills, behaviors, and clinical reasoning. It does not include classroom instruction or practice conducted on fellow students or staff
members.
Kindly complete all required sections, including the chart. Be sure to provide details for each clinical placement, including the location, dates,
practice areas, and the number of hours completed. All fields are mandatory.

Total hours of supervised clinical practice completed during the program:

LOCATIONS DATES Musculo- Neurological Cardio- Women’s Pediatric Sports Oncology Community Others TOTAL
Include the full name of Start to End skeletal Conditions respiratory Health Conditions Conditions conditions
Physio-
Conditions Conditions conditions
hospital/clinic (Adult) therapy
(Geriatrics)

Hours spent at each location

Name and Signature of the Authorized signatory: Seal/Stamp

Page 6 of 7
APPENDIX 2

Required Document List:

Please Tick the boxes to ensure you have attached all the necessary documents.

Completed Scholastic Credential Request Form (Original copy only accepted)

Transcripts

Transcript hours

Grade List

Curriculum/ Syllabus description

Mark sheets

Supervised Clinical Practice attested form (Appendix 1)


Clinical Internship Certificate
Degree/ Diploma certificate

Language Proficiency Certificate

Please send the completed form along with the necessary


documents to the respective State Allied Healthcare council
office address where the applicant intends to work

Page 7 of 7
Foreign Nationals
Application Form
For
Physician Associates
APPLICATION FORM
International Physician Associate Professional for registration in India
(Under the National Commission for Allied and Healthcare Professions Act, 2021)

1. CATEGORY OF APPLICATION
☐ Indian Citizen with overseas qualification

☐ Overseas Citizen of India (OCI)

☐ Foreign National

2. IDENTITY AND LEGAL ELIGIBILITY


Full Name (as in Passport): ______________________

Date of Birth (DD/MM/YYYY): ____________________

Age: ___________

Nationality: ____________________

Passport Number: ____________________ (Attach passport copy)

Country of Issue: ____________________

Passport Issue Date: ____________________

Passport Expiry Date: ____________________

OCI Card Number (if applicable): ____________________ (Attach copy)

3. EDUCATIONAL QUALIFICATIONS
Qualification Institution Country Year of Grade / %
Name Completion

Two-year
Postgraduate Degree
in Physician
Associate Studies

Three-year
Undergraduate
Degree in Physician
Associate Studies

1
(Attach copies of degree certificate and transcriptions)

4. CLINICAL EXPERIENCE (MANDATORY FOR UG PAS)

No Institution Name Country Start date End date

(DD/MM/YYYY) (DD/MM/YYYY)

(Attach experience certificate (s) with relevant authorities clearly describing your
role in the clinical setting, contact details with email id and phone numbers of your
clinical supervisor)

5. PROFESSIONAL REGISTRATION / LICENSING (IN COUNTRY OF STUDY)


Name of Professional Council/Authority: ____________________

Registration/License Number: ____________________

Validity Period: From ___________ To ___________

Country of Registration: ____________________

(Attach copy of valid registration/license certificate).

6. PROFESSIONAL ASSOCIATION MEMBERSHIP


Name of PA Association/Society: ____________________

Membership ID/Number: ____________________

Membership Validity Period: ____________________

(Attach copy of membership certificate/card).

2
7. NATIONAL EXIT/LICENSING EXAMINATION IN INDIA
Year of Clearance: ____________________

Score Obtained: ____________________

(Attach copy of result/certificate).

7. LANGUAGE PROFICIENCY (Spoken)


Regional Language in place intended for practice: _______________

Please select your proficiency level:

☐ I cannot speak the language

☐ Level 1 – Basic (simple greetings, asking about symptoms, etc.)

☐ Level 2 – Intermediate

(Conduct routine clinical conversations, able to provide simple instructions, describe


simple procedures etc.,)

☐ Level 3 – Advanced/Professional/Native

(Able to conduct detailed interviews, explain diagnoses, administer informed consent,


break bad news with cultural nuance)

Note: At least Level 2 proficiency is desirable for PAs in patient-facing jobs.


Applicants with no or basic language proficiency skills should attach a declaration
in the format given at the end of the application form.

9. CONTACT DETAILS

Address in Home Country: __________________________________

Phone Number (with country code): ____________________

Address in India (if applicable): __________________________

Phone Number: ____________________

Email Address: ____________________

Emergency Contact Name & Relationship: ____________________

3
Emergency Contact Number: ____________________

10. DOCUMENTS TO BE ATTACHED


☐ Passport copy

☐ Provisional job offer letter from Indian institution (for foreign nationals)

☐ Academic transcripts

☐ Degree certificates

☐ Work experience certificates (if applicable)

☐ Registration/License from home country professional body

☐ Membership proof of association/society

☐ Language proficiency certificate (if available)

☐ Passport size photographs (4)

☐ Medical fitness certificate

☐ Self-declaration for language skills (Only for those with level 1 and below)

11. FORMAT FOR DECLARATION OF LIMITED PROFICIENCY (if applicable)


I, ____________________________, hereby declare that I currently have no or only
limited proficiency in the regional language of the state/region where I intend to practice
in India.

I undertake to achieve at least an Intermediate/Working proficiency level within six (6)


months of commencing my internship/practice and agree to provide proof of such
proficiency (through a test, certification, or verification by the training
institution/healthcare facility).

I understand that failure to demonstrate the required proficiency within this period may
result in restrictions on my practice rights or cancellation of my registration.

Signature of the Applicant: ____________________


Date: _______________
Place: _______________

4
12. GENERAL DECLARATION
I hereby declare that the information provided is true and complete to the best of my
knowledge. I understand that submission of false or incomplete information may result in
the rejection of my application or cancellation of my recognition/registration.

Signature of the Applicant: ____________________


Date: _______________
Place: _______________

13. FOR OFFICE USE ONLY


Application Number: ____________________

Status of Recognition ☐ Provisional ☐ Regular ☐ Pending Equivalence

Remarks: __________________________________

Verified by (Signature): ____________________

Seal of Institution / Council: _______________

………………………………………………………………………………………………

End of form

5
Foreign Nationals
Application Form
For
Medical Radiology and Imaging
Technology
&
Radiotherapy Technology
APPLICATION FORM FOR
REGISTRATION OF FOREIGN MEDICAL RADIOLOGICAL AND IMAGING
TECHNOLOGY CANDIDATES
Step by Step Registration form For Foreign Candidates seeking Registration with NCAHP
Step: 1
To Register, He/she should create an account with following credentials:
Name: First Name_________________ Last Name ________________
Date of Birth: ______________
Email Id: _________________
Security Question 1.
Security Question 2.
Captcha:
Submit the details.
(Registration Id/Reference No shall be created and send to their registered email) with a pass
word and login Id. Password should be changed once they login)
Step 2: Application format:
Professional Registration Category: _______________________ ISCO Code: __________
Title: (Select from the Drop-down Button Mr. Ms. Dr.)
First Name: _____________ Middle Name: ______________ Last Name:__________________
Gender: (Select from the Drop-down Button) Male, Female, Others
Date of Birth: (Chose from the Calendar provided)
(Upload any relevant authorised Document for the proof of identity and date of birth)
Nationality: _________________________ List of Nations in the drop down
(Upload the Document):
Country Code: _________________ Contact No: ________________________
Email Id: __________________________
Visa Number: If already holds: ____________________
Type of Visa: _____________ Date of Issue: ___________ Date of Expiry: ___________
Contact Details: In case of emergency:
Address in Home Country:
Address in India (if any)
Phone Number (with country code)
1
Email Address:
Emergency Contact Name:
Emergency Contact Number
Relationship with Emergency Contact

Upload your
passport size
photo
Upload your Digital signature
200 KB
50 KB

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Upload your Passport size Photograph: Upload your digital signature:
Photo with white back ground (Terms & Conditions)
Step 3: Educaitonal Qualification: Upload the certificates for the proof the qualification:
Standard Name of the Institution Name of the Board Year of Division Upload
Passing the
Proof
10th
Std/Equivalent
Plus
2/Equivalent
Graduation
Post Graduation
If any other

Add row/delete row facility for adding/deleting the data*


Details of the Technical Qualifications: Upload the certificates for the proof the qualification:
Standard Name of the Name of the Duration Year of Division Upload
Institution Board/University of the Passing the
Course Proof
Diploma
Degree
Post
Graduation
Post
Graduation
Diploma
Advance
Diploma
Ph. D Program
If any others
Specify
Add row/delete row facility for adding/deleting the data*

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Details of the Intenship: Upload the certificates for the proof the qualification:
Sl. No Name of the Institution from To Upload
the Proof

Employment Details: Attach the present employment details:


Sl. No Name of the Institution/Hospital/Organization Role/Designation from To

Add row/delete row facility for adding/deleting the data*

Email Id: _____________ Phone No: _________________


Passport No. __________ Date of Issue ___________ Date of Expiry _____________
Step 6: Program Applied for
Field (Professional Category)
Name of Program / Course

Level of Study ☐ UG ☐ PG ☐ Diploma ☐ Other

Mode of Study ☐ Full-Time ☐ Part-Time


Duration of the Program
Academic Year

Admission Through ☐ Self-Financed ☐ ICCR ☐ Embassy

The following items are department-specific:

Letters of Recommendation (LOR). When required, you should provide recommendations from
individuals who are familiar with your academic achievement and potential. If you have been
out of school for a number of years and are unable to contact former professors, you may submit
non-academic references (e.g., employers).
Statement of Purpose. You may be required to submit a Statement of Purpose. Resume or
Curriculum Vitae. You may be required to submit either a Resume or Curriculum Vitae.
Step 7: Sponsorship Details:
Is it self-sponsored or any third party support your training and education:
Sponsorship details:
Attachments: Undertaking letter with the Sponsor:
Once Submit the form, Payments details should open the payment gateway:

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8. Vaccination Details:
Confirm primary courses and boosters are up to date as recommended for life in Britain -
including for example, seasonal flu vaccine and COVID-19 (if eligible), MMR, vaccines
required for occupational risk of exposure, lifestyle risks and underlying medical conditions.
Courses or boosters usually advised:
Diphtheria;
Hepatitis A;
Tetanus;
Typhoid.
Hepatitis B;
Rabies.
Selectively advised vaccines - only for those individuals at highest risk:
Cholera;
Japanese Encephalitis.
Yellow fever vaccination certificate requirements for India are specific and quite lengthy, to read
the full details via the W.H.O Website Link
Please Note: If you travel to India from the UK, transiting through Europe or the Middle East
(and you have not been in a South American or African country in the previous week) a yellow
fever vaccination certificate is not required.
Step 9: Payment of Prescribed Fee: (Non-Refundable)
Make the payment (Prescribed Fee ___ INR / __________ US Dollars.
Step 9 Check List of the Documents:

☐ Copy of Passport

☐ Copy of Visa

☐ Address Proof:

☐ Academic Transcripts / Certificates

☐ Letter of Admission / Offer Letter

☐ English Language Proficiency Certificate (if applicable)

☐ Equivalence Certificate from AIU (if applicable)

☐ Medical / Fitness Certificate

☐ Proof of Sponsorship / Financial Support

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11. DECLARATION
I hereby declare that the information provided above is true and complete to the best of my
knowledge. I understand that any false information or misrepresentation may result in
cancellation of my admission.
Date: ________ Digital Signature of the Student:
Place: ________

Captcha:

Verify the Application: Print the Application Submit the form


Make payment: Prescribed payment shall be done.
Enter the details of the payment or automated confirmation after payment.

Once Application is submitted, the candidate may receive the confirmation email. If
application is rejected no fee is refunded.

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Foreign Nationals
Application Form
For
Occupational Therapy
ADMISSION REGISTRATION FORM FOR FOREIGN OCCUPATIONAL THERAPY
STUDENTS

1. NAME:

First Name Middle Name Last Name

_________________ __________________ _______________

2. GENDER: Male / Female / Others


3. DATE OF BIRTH: ___________________
4. NATIONALITY: ______________________________________________
5. PHONE NUMBER (with country code): ________________________
6. E-mail ID: ________________________________ ; Identity card
NO_______________________
7. NAME OF INSTITUTION:
_____________________________________________________
8. ADDRESS OF INSTITUTION:
__________________________________________________
9. INSTITUTION E-mail ID:
______________________________________________________
10. INSTITUTION CONTACT NUMBER:
___________________________________________
11. TITLE OF PROFESSIONAL COURSE:
__________________________________________
12. DATE OF COURSE COMMENCED:
____________________________________________
13. DATE OF COURSE COMPLETED:
_____________________________________________
14. PROFESSIONAL REGISTRATION NUMBER:
___________________________________
15. EDUCATIONAL QUALIFICATION

Sl. DEGREE INSTITUTE UNIVERSITY YEAR OF PERCENTAGE/


No. NAME PASSING CGPA
i.
ii.
iii.
iv.

16. INTERNSHIP/ CLINICAL TRAINING

Sl. NAME OF DURATION DEPARTMENT SUPERVISOR


No. INSTITUTION NAME
i.
ii.
iii.

17. PROFESSIONAL EXPERIENCE

Sl. PROGRAM ORGANISATION DATE DURTAION CERTIFICATE


No. NAME BODY
i.
ii.

18. DOCUMENT CHECKLIST (Please  in box)

 Identity Card

 Degree Certificate (BOT, MOT

Syllabus of Undergraduate programme

Syllabus of Post graduate programme


 Internship Completion Certificate

 Professional Registration number

19. Signature of the Dean/Principal/ Director of the Institute.


20. DECLARATION

21. OFFICE USE:


a. Clinical / Field work Experience: ______________
b. Total Number of Hours: _____________________
c. Has the applicant completed clinical under supervision of a qualified Occupational
Therapy? Yes / No.
d. At the time of applicant graduation, the Occupational Therapy program was approved
by one of the following:
 US OT Program
 International OT Program.
Foreign Nationals
Application Form
For
Trauma & Burns
Trauma and Burns care -Professional credential Equilancy for Foreign
Nationals as per Draft:

Educational Information
1 Name as per Certificate
2 University or Institution Name
3 College Name
4 University Address
5 City
6 University Country
7 Qualification Attained
8 Major Subject/Minor subjects
Mode of Study (Full time, Part Time, Exam Based Qualification) Others
9 Please Specify
10 Duration of Study/ No of Years
11 Clinical Internship Duration
12 Student Identity or Roll Number
13 Registration Number
14 Final Examination Year & Date
15 Attendance Period/Year of Study
16 Qualification Conferred Date

Note: If certificate name is different than Name as per passport, then please submit the name
change document
Personal Details
1 Family Name (Surname /Last Name)
2 Given Name (First Name)
3 Date of Birth (DD.MM.YYYY) Place of Birth Gender
4 Passport Number
5 Nationality
6 E- mail
7 City
8 Area
9 Mobile Number
10 Current Place of Work

License Information
1 Name as per License
2 Issuing Authority Name
3 City Area
4 Issuing Authority country
5 Phone Number
6 License attained
7 License Type
8 License Number
9 Issue Period From To
10 License Conferred Date

Experience Details
1 Employer Details
2 Name of the Employer
3 Address
4 Website Address-URL
5 Telephone Number
6 Period of Employment From To
7 Employment code/Department
8 Job Title/Designation
9 Full Time/Temporary

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