PwDs Registration
Contact us on: 040 64503342
PwDs Registration
Contact us on: 040 64503342
Name of the PwD
*
Email ID
*
Contact Number
*
Alternate Contact Number
Date of Birth
*
Choose your option
Male
Female
Other
Gender
*
Father Name
*
Father Occupation
Contact No
Mother Name
*
Mother Occupation
Contact No
Choose your option
OC
BC
SC
ST
Caste
*
Choose your option
Married
Unmarried
Marital Status
*
Choose your option
Visually Impaired
Speech & Hearing Impaired
Locomotor Disability
Cerebral Palsy
Mentally Disability
Other
Disability
*
Choose your option
Blind
One eye blind
Pin Hole Vision
Low Vision
Night Blindness
One ear hearing impairment
Two ear hearing impairment
Speech impairment
Speech & hearing impairment
Person with one leg disability
Person with two leg disability
Person with one hand disability
Person with two hands disability
Spinal Problem
Dwarfism
Other
Disability Description
*
Percentage of Disability
*
Sadarem No
*
Aadhaar No
*
Address
*
State
*
District
*
Pin Code
Choose your option
USSC
SSC
Intermediate
Degree
PG
Education Qualification
*
Group/Trade
Percentage
*
Choose your option
DDU GKY
PMKVY
RYK
Other
None
Have you attended any govt training program
*
Please provide details if you have any health disorders / health issues