Application Form for Registration

Download the Application form for Registration

The Deputy Director/ Principal /In-charge, Dated:_________________

RCMHC/RCPH/Special Education & Rehabilitation Centre,

Department of Empowerment of Persons with Disabilities,

Government of Sindh,

District__________________.

Subject: REQUEST FOR ISSUANCE OF DISABILITY REGISTRATION CERTIFICATE.

R/Sir/Madam,

With due respect, it is submitted that I am a person with disability. Therefore, it is requested that kindly issue me a disability registration certificate.

My particulars are as under:-

NAME Mr. /Ms. : ___________________________________________

S/O, W/O, D/O : ___________________________________________

DATE OF BIRTH : ___________________________________________

TYPE OF DISABILITY : ___________________________________________

CNIC # : ___________________________________________(If any)

CONTACT # : ___________________________________________

QUALIFICATION : ___________________________________________(If any)

ADDRESS : ___________________________________________

_________________________

SIGNATURE OF THE APPLICANT.

Check list (Tick) the Documents you are have.

CNIC #05 Copies.
Photos 05 Copies (Passport size).
If under 18 B Form or Birth Certificate with Father CNIC (5 Photocopy) issued from NADRA.
Educational Certificate 05 Copies.
Proof of Age (5 copies of Related Documents)
Medical History (Related Documents (5 copies).