Person with Disability Registration

Personal Details

  • (Click on the text to see the suggestions / hints)
    (Click on the text to see the suggestions / hints)
    (Click on the text to see the suggestions / hints)
  • (Click on the text to see the suggestions / hints)
    (Click on the text to see the suggestions / hints)
  • (Only jpeg, jpg, gif and png image with size 15 KB to 500 KB allowed)
    
                                                                     Photo Signature / Thumb / Other Print
    (Only jpeg, jpg, gif and png image with size 3 KB to 500 KB allowed)

Address for Correspondence

  • (Click on the text to see the suggestions / hints)
    (Click on the text to see the suggestions / hints)
    (Click on the text to see the suggestions / hints)
  • (Only jpeg, jpg and png with size 10 KB to 800 KB allowed)

Permanent Address

  • (Click on the text to see the suggestions / hints)
    (Click on the text to see the suggestions / hints)
    (Click on the text to see the suggestions / hints)

Educational Details

Disability Details

  • Yes
    No
    (Only jpeg, jpg, png and pdf with size 10 KB to 800 KB allowed)

    Blindness

    • Inability of a person to count fingers from a distance of 6 meters or 20 feet
    • Vision 6/60 or less with the best possible spectacle correction
    • Diminution of field vision to 20° or less in better eye

    Cerebral Palsy

    Cerebral palsy(CP) is the term used for a group of non progressive disorders of movement and posture caused by abnormal development of, or damage to, motor control centers of the brain. CP is caused by events before, during, or after birth. The abnormalities of muscle control that define CP are often accompanied by other neurological and physicalabnormalities.

    Disability Since
    Disability By Birth

Employment Details

Identity Details

  • (Only jpeg, jpg and png with size 10 KB to 800 KB allowed)
CAPTCHA Image
Play CAPTCHA Audio
Refresh Image
Previous
Back to Top