World Physiotherapy AWP Regional Conference 2026

Platinum Jubilee Edition | On the Occasion of 70 Years of Establishment (1955–2025). IAP announces Structured, evidence-based evaluation and recognition of Physiotherapy Establishments across clinical quality, infrastructure, innovation, and outcomes.

The name, email address and photo associated with your Google Account will be recorded when you upload files and submit this form.

Nomination Form

Full Name ^*

Email-id ^*

INSTRUCTIONS

Must be completed fully Submission deadline: 15 July 2026 - Separate form required per category/branch - Confidentiality assured - Registration of AWP Regional Conference is mandatory where awards ceremony will take place.

Please confirm you have read the instructions before proceeding.

I confirm that I have read the above instructions.

SECTION A: AWARD CATEGORY SELECTION

Select the most appropriate category that best represents the core specialization and operational model of the centre. Incorrect categorization may affect evaluation scoring.

Primary Category ^*

Special Category

SECTION B: APPLICANT DETAILS

Provide details of the individual submitting this nomination. This ensures traceability and communication during evaluation.

Full Legal Name ^*
Enter the full legal name of the applicant.

Role / Professional Designation ^*
Mention your professional role (e.g., Consultant Physiotherapist, Director).

Organisation / Affiliation
Name of the organization you are affiliated with.

Contact No ^*

City of Applicant ^*

State of Applicant ^*

SECTION C: NOMINATED CENTRE PROFILE

This section captures the institutional identity and regulatory status of the centre.

Centre Name ^*
Official registered name of the centre.

Year of Establishment ^*
Year when the centre started operations.

Full Address ^*
Provide precise geographical details.

Centre Website URL
Provide website URL (URL validation)

SECTION D: INFRASTRUCTURE & OPERATIONS

This section evaluates physical infrastructure, accessibility, service capacity, and operational scale.

Total Physiotherapy Area ^*

Number of Dedicated Physiotherapy IPD Beds ^*
Enter 0 if none

Equipment Assessment ^*
Provide the list of equipment in facility

Equipment Photograph
Upload the Photograph showing equipment in facility

SECTION E: HUMAN RESOURCES

Assesses workforce strength, qualification mix, and clinical capacity.

Total Full-Time Staff ^*
Including all roles: PT, Assistants, Admin

Number of Full-Time Physiotherapists (FT PTs) ^*

Staff List Upload (Required): Upload a document detailing the name, highest qualification, and relevant experience for all permanent clinical staff.

SECTION F: CLINICAL QUALITY & INNOVATION

Evaluates clinical governance, outcomes, digitization, and innovation maturity.

Systematic Usage of Standardized Outcome Measures ^*

Research Involvement ^*

List research contributions ^*

Registration Ticket ^*

SECTION I: DECLARATION

I/We confirm that all information provided in this nomination form is accurate, verifiable, and complete to the best of our knowledge.

Declarant Full Name ^*

Declarant Designation ^*

Date of Declaration ^*

Signature Upload (Required | Upload the signed declaration document or a digital signature image)