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Data Protection Act

All personal data is required to provide you with health care services as necessary. It is processed in accordance with the Data Protection.

Act, and as permitted by the law. Further information about your data can be obtained on request.

Full Name of Applicant: ____________________________________________________________________________________________



Address: ________________________________________________________________________________________________________

            ________________________________________________________________________________________________________



Postal Code: ____________________________________                Place of Work: __________________________________________



Telephone: _____________________________________                Mobile Phone: __________________________________________



Email Address: __________________________________________________________________________________________________



Year of Qualification: __________________                                                                         

                                                                                                                                                              

                                                                                                                                                               

Area(s) of Interest/Specialisation: ________________________________________________________                         
























Fee to be paid: _______________________________________________                      _______________________________________

                                                                                                                                           Applicant Signature



Qualification:




Diploma





Degree





Master’s





Doctorate’s

Category

Yearly Fee

Fee for 2 Years

Ordinary Members
(Qualified O.T.s)

€20

€36

Associate Members
(O.T. aids, O.T. assistants, other professionals and interested persons)

€15


€25

O.T. Students

€8


W.F.O.T. Individual Membership Fee for qualified staff is of $21.00 and for Students is $17