ABAT (ABA Technician)

Training and Certification Program Enrollment Form

Date:

Applicant Information

Name (As written in Government ID):

Phone Number:

Gender:

Male

Female

Other

Date of Birth:

Email Address:

Permanent Address:

Last Completed Qualification:

How did you hear about us?

Current Occupation:

Program & Payment Details

Program Mode:

Self Paced

Live Classes

Enrollment Batch:

Total Package Fee:

Payment Status:

Full

Installment

Payment Method:

Transaction Reference:

Payment Screenshot

Upload a screenshot or receipt of your payment. PNG, JPG, or PDF up to 4MB.

Identification & Education

Government Identification

Upload a clear copy of your government-issued ID. PNG, JPG, or PDF up to 4MB.

Education Document

Upload your latest qualification certificate or transcript. PNG, JPG, or PDF up to 4MB.

Package Inclusions

Training package includes (60 days coursework + exam preparation):

ABAT Course Package (Course, Training, Practicum, one internal and board exam) (Incl)

ABAT Classes + Examinations (Internal and Board) (Incl)

Comprehensive training sessions (Incl)

Access to study materials (Incl)

Board Examination Fee (One Attempt) (Incl)

Additional Course Materials Access (Incl)

Center Access

Professional Interest & Background

Are you interested in joining ABA Therapist profession after this course?

Yes

Not Decided yet

Are you available in Kathmandu valley for the 5-10 hours of practicum?

Yes

May be

Do you have any previous experiences in special education or similar?

Important Terms & Conditions

The following terms apply to candidates enrolling in the QABA Board associated course and its corresponding certification programs.

Board Examination

The included board exam must be attempted within 3 months from the date of course completion.
The board examination fee included in this package is applicable only to Nepali residents.
The board examination fee is subject to change in the event of significant fluctuations in the USD exchange rate.

Re-Examination Policy

Retakes for board exams are available with minimum 30-day wait and within 1 year of original attempt.
In case of failure in any examination, re-examination fees are not included in the package.
Re-examination fees will be charged based on the prevailing USD exchange rate on the day of payment and subject to applicable taxes and other applicable charges.

Study Material Access

Study materials will be accessible for 2 months from the date of enrollment.
Continued access beyond this period is optional and will incur an additional fee.

Declaration & Consent

I hereby confirm that:

I have read, understood, and agreed to all the terms and conditions outlined above.
This course is offered in collaboration with Jey Special Needs Center India, and all course-related content is provided by Jey Special Needs Center based on the QABA Board curriculum and guidelines.
I acknowledge that timelines related to the board examination and study material access are my responsibility.
I understand the financial implications of re-examination and extended access to materials.

I accept all the terms and conditions and confirm my declaration for enrollment in the ABAT Training Program.

Please accept the declaration to proceed