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Apply for Services
Service Components
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Disability Certificate
Pre-assessment of disability
Income Certificate
Residence Certificate
Caste Certificates
Transport Concession
Support for Corrective Surgeries
Supply & Fitting of Aids & Appliances
Self Employment Kits Assistance
Formation of SHGs
Educational Kit/ Aids and Appliances for SwD
Prosthesis and Orthosis Conventional and Advance Categories
Digital Programmable Hearing Aid
Scholarship to Children of PwDs pursuing Higher Education
Free Coaching for Students with Disabilities
Skill Upgradation Training for PwDs
Quality Learning Initiative for Children with Disabilities
District
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ANGUL
BALESHWAR
BARGARH
BHADRAK
BOLANGIR
BOUDH
CUTTACK
DEOGARH
DHENKANAL
GAJAPATI
GANJAM
JAGATSINGHAPUR
JAJPUR
JHARSUGUDA
KALAHANDI
KANDHAMAL
KENDRAPARA
KENDUJHAR
KHORDHA
KORAPUT
MALKANGIRI
MAYURBHANJ
NABARANGAPUR
NAYAGARH
NUAPADA
PURI
RAYAGADA
SAMBALPUR
SONEPUR
SUNDARGARH
Special School Name
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Kit Description
Applicant Name
Aadhar No
DOB
AGE
Gender
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Male
Female
Other
Upload Aadhar Scan Copy
Mobile No
Father's/Spouse Name
Service Availed Before ?
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Yes
No
Social Category(Caste)
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General
OBC
SC
ST
MINORITY
Photo
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District
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ANGUL
BALESHWAR
BARGARH
BHADRAK
BOLANGIR
BOUDH
CUTTACK
DEOGARH
DHENKANAL
GAJAPATI
GANJAM
JAGATSINGHAPUR
JAJPUR
JHARSUGUDA
KALAHANDI
KANDHAMAL
KENDRAPARA
KENDUJHAR
KHORDHA
KORAPUT
MALKANGIRI
MAYURBHANJ
NABARANGAPUR
NAYAGARH
NUAPADA
PURI
RAYAGADA
SAMBALPUR
SONEPUR
SUNDARGARH
Block/ Muncipality:
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Gp/Ward:
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Village
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Ward No
House No/Plot No
PIN
Disability Type
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Low Vision
Leprosy Cured Person
Locomotor Disability
Muscular Dystrophy
Acid Attack Victim
Dwarfism
Cerebral Palsy
Deaf
Speech & Language Disability
Hard of Hearing
Blindness
Mental Illness
Specific Learning Disability
Intellectual Disability
Autism Spectrum Disorder
Thalassemia
Sickle Cell Disease
Haemophilia
Parkinsons Disease
Multiple Sclerosis
Multiple Disability Including Deaf & Blindness
Chronic Neurological Conditions
No Disease
Others
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Date Of Service Availed
Additional Document
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