Logo Logo
Home > Information Kiosk > Central Govt Schemes for Minorities

Application Form for obtaining Tape Recorder from Woman and Child Welfare Dept

APPLICATION FORM FOR OBTAINING TAPE RECORDERS
FREE OF COST OR PERMANENT BASIS TO BLIND STUDENTS

 

Sir,

I request you to kindly issue me a tape recorder free of cost.

 

Signature of the Applicant:

1. Name of the Applicant: ................................................................................................

(Block letters in full)

2. Father’s Name : ................................................................................................

3. Date of Birth : ................................................................................................

4. Sex : M/F

5. Permanent Address : ................................................................................................

6. Present address : ................................................................................................

7. Nature of handicapped: ................................................................................................

8. Educational Qualification : ................................................................................................

9. Annual Income : ................................................................................................

 

 

SIGNATURE OF THE APPLICANT

NB:- 1.Candidate is requested to attach the following certificates are get it signed by the concerned people on the application form itself.

2. Certificate from the Principal.

3. Blindness certificate.

4. Income Certificate

PRINCIPALS CERTIFICATE (STUDY CERTIFICATE)

This is to certify and Sri/Smt/Kum ___________________________________ S/o,

D/o, W/o _____________________________ is studying in ________ His/Her roll No. is _____________ of this college.

 

 

Signature

seal