The Follow-up Activities is not available as a related list in the Account Detail page in the offline (iPad) version to create a task.
Follow-up Activities are stored as standard SFDC Tasks and are not supported Offline as a related list on the Account Detail page.
Once a user logs into iRep, assigned tasks can be viewed on the VMobile Home Page.
Tasks can be created Offline using Follow-Up Activities from a Call.
CRM Help Documentation: Creating Follow-up Activities on the Call Report
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