Contact confirmation | VIPP-SD International

Confirmation of registration!

Since 1 January 2024 VIPP-SD International handles the registration of most certified VIPP/VIPP-SD professionals.

Older registrations require verification and updating, therefore please provide the information requested on this form.

The email address you provide will be used in our future communications.

Provide a secondary email address as a backup!.

VIPP/VIPP-SD qualifications, certificates and registrations are personal, at least one of the addresses should be a personal address.

Form - Confirmation of registration

Email address *

First name *

Last name *

Secondary email address

Country of residence *

Nationality *

I am a *

VIPP-SD Intervener
VIPP/VIPP-SD Training Participant, in practical training
VIPP/VIPP-SD Training Participant, not proceeded after basic training
Other, see description

Description

I am certified in year

My trainer/supervisor was

My status is *

active
inactive
on hold
retired

Message

I want to *

be further informed about the status of my registration
terminate my registration

Send me a copy