Institute for the Handicapped & Backward People
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USD $
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WHAT WE ARE DOING
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ART & PAINTING
PROJECTS
Special Education for Disable Child
Community Based Education for Di
Home Based Rehabitation
Vocational Training
Informal Education
Women development
Rural Development
Liively Hood
Construction of School Building
Rural Artisan Development Project
CONTACT US
STUDENT REGISTRATION
Home
Registration
1.Personal Information
2.Address
3.Qualification Details
4. Upload Docoment
Personal Information
Name of the Applicant:
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Father's/Guardian's Name:
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Mother's Full Name:
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Date Of Birth:
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Married:
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Yes
No
Sex:
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Male
Female
Others
If married,full name of wife/husband:
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Blood Group:
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Aadhar Card No:
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Voter Card No:
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Photo
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If any medical Help Require:
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Yes
No
Bank Account Details
Account Holder Name:
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Bank Name:
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Branch Name:
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IFSC Code:
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Permanent Address:
Street:
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Village/Town:
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Post Office:
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Police Station:
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Distict :
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Pin Code:
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State
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Phone:
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Mobile :
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Your e-mail id :
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Present Address:
Same As Permanent Address?
Street:
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Village/Town:
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Post Office:
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Police Station:
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Distict :
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Pin Code:
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State
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Phone:
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Mobile:
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Your e-mail id :
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Qualification Histry
Present Occupation:
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Employer:
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Academic Qualification:
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Technical Qualification if any:
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Passing Year:
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Tech. Passing Year:
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Class in which admission sought:
Course Category:
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Choose Category
Academic
Technical
Experience if any:
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Course Name
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Upload Histry
Monthly Income:
Family:
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Guardian's:
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Self:
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Caution money deposited in bank:
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Yes
No
In future I agree to pay school and other fee:
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Yes
No
Disablity:
Physically Challenged:
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Yes
No
Type of Disablity:
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MR.
Blindness
Low-vision
Leprosy Cured persons
Hearing Impairment
Locomotor Disability
Dwarfism
Intellectual Disability
Mental Illness
Autism Spectrum Disorder
Cerebral Palsy
Muscular Dystrophy
Chronic Neurological conditions
Specific Learning Disabilities
Multiple Sclerosis
Speech and Language disability
Thalassemia
Hemophilia
Sickle Cell disease
Multiple Disabilities
Acid Attack victim
Parkinson's disease
Others
Percentage of Disability:
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Note:
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Declaration by the applicant
I hereby declare that all the statements made in this application are true, complete and correct to the best of my knowledge and belief.I undestand that in the event of any information being found false or incorrect at any stage,my registation/admission is liable to be cancelled.
Enclosed:
Handicapped certificate:
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Income proofs:
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Copy Photography:
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Date of Birth Certificate:
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Transfer Certificate:
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Audiogram Report:
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