FORM OF PHYSICALLY HANDICAPPED PERSONS
ISSUE OF IDENTIFY CERTIFICATE
In block letters)
of Father /Guardian –
(a) Permanent address
(b) Relationship with the guardian
3. Nature of physically handicap and its cause ( with
a short history )
of birth ( in Christian era )
Attested copy of Matriculation certificate/ other educational certificate,
If not matriculate should be attached )
Qualification and vocational training ( Attested copy of
certificate and mark sheet should be attached in support of education
training , age. etc.
the candidate has enjoyed any scholarship stipend or any financial aid from
state/ central Govt. If so give details.
the candidate has registered his /her name in the Employment Exchange or
special Employment Exchange or handicapped, If so the NO. and
date & Name of employment Exchange should be indicated.
the candidate belongs to SC/ST . If so attached copies of the caste
certificates be attached.
address to which communication should be sent.
Signature /L.T.I. of the candidate, with attestation
from any Gazetted Officer or Panchayat Samiti
Chairman or Local M.L.A.