PAOT Membership 2019
Welcome to PAOT! This is the temporary online membership form of the PAOT for 2019. We will be sending you the full form soon once it is finalized. You may fillout this form for the moment to apply or renew your membership. This form will be replaced by the new form soon.
Email address *
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Membership Status *
Membership number
For renewing members only
Your answer
Membership Type *
Validity *
WFOT Membership *
Are you also applying/renewing as WFOT member? (separate fees apply)
PERSONAL INFORMATION
Given Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Name to Appear on Certificate *
Please follow this format: (GIVEN NAME/ MIDDLE INITIAL / SURNAME) Example: Juan A. Dela Cruz, OTRP
Your answer
Contact Number *
Your answer
OT School *
Please specify here the OT school you graduated from
Your answer
PRC License Number *
Please follow this format - 000XXXX. If not applicable, please put 0.
Your answer
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