Person with Disability Registration

Personal Details

Address Line 1 *

Address Line 2

Address Line 3
पता पंक्ति १ *

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पता पंक्ति २

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पता पंक्ति ३

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State / UTs *

Please select state / UTs.

District *

Please select district.

City / Sub District / Tehsil *
Village / Block

Pincode *

Nature of Document for Address Proof *

Please select nature of document.
Upload Proof of Correspondence Address*

(Only jpeg, jpg, png and pdf with size 10 KB to 100 KB allowed)

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Identity Proof

Identity Proof same as Proof of Correspondence Address

Upload Identity Proof *

(Only jpeg, jpg, png and pdf with size 10 KB to 100 KB allowed)
TIN (NPR)

Aadhaar No.

I agreed to share Aadhar information with GOVT. Department.
Any other State / UTs ID

Any other State / UTs ID Value