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Hearing Aid Registration Form – Gadchiroli
(श्रवणयंत्र नोंदणी फॉर्म - गडचिरोली)
लाभार्थ्याचे नाव
*
लाभार्थ्याचे आडनाव
*
मोबाईल नंबर
*
0 / 10
जिल्हा
*
जिल्हा
गडचिरोली
वय
Gender / लिंग
*
Male - पुरुष
Female - महिला
UDID Number
*
आधार कार्ड
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दिव्यांगत्वाचा प्रकार
*
Blindness
Muscular Dystrophy
Hearing Impairment
Hemophilia
Low vision
Parkinson's Disease
Intellectual Disability
Thalassemia
Leprosy Cured
Sickle Cell Disease
Acid Attack Victim
Locomotor Disability
Cerebral Palsy
Dwarfism
Mental Illness
Multiple Sclerosis
Specific Learning Disabilities
Speech and Language Disability
Autism Spectrum Disorder
Chronic Neurological Conditions
Multiple Disabilities Including Deaf Blindness
दिव्यांग प्रमाणपत्र
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लाभार्थ्याचा फोटो
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राशन कार्ड
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उत्पन्न प्रमाणपत्र
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डॉक्टरांचे प्रिस्क्रिप्शन
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Submit
