{“type”:”inserter”,”blocks”:[{“clientId”:”673757f0-ec79-46ee-a0be-502bc78ef2bb”,”name”:”user-registration/form-selector”,”isValid”:true,”attributes”:{},”innerBlocks”:[]}]} User Email * User Password * First Name * Last Name * Father/Husband/Guardian’s Name Mobile Number * Write 10 digit mobile number without code and space Date of Birth * Gender * MaleFemaleTransgenderOther Whether Person with Disability * YesNo Indicate if you have Benchmark Disability Certificate Category to which you belong to * GeneralSCSTOBC Adhar Card Number * Address * Sate * Institution’s Name If you are presently working Professional status ProfessionalPersonalTherapistStudentParents Highest Qualification * Rehabilitation Qualification Area of Specialization CRR/MCI/Professional Registartion Number Year of Registration Submit
