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CENTRAL AND STATE GOVT VARIOUS MINISTRY/DEPARTMENT EMPANELMENT AND REGISTRATION


Form - Registration under Department of Empowerment of person with Disabilities

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Total Expenses : Rs 2950/-

Sponsor Present ? * Yes No




[ After Click On Primary Submit Check your Email ID for Final Submission ]

ORGANIZATION`S DETAILS

Organization Name *
Pan Number *
NGO Darpan Unique ID *
Registration No *

ROLE PROFILE

Role Type(Center/State/District/PMU) * Central Ministry State Level District Level PMU Official
Scheme Name *

PERSONAL DETAILS

Applicant Name *
Mobile No. *
Email ID *
Designation *

OFFICE DETAILS

Address Line1 *
Address Line2 *
City *
Pincode *
Office Phone *
Email ID
Fax

SPONSORED INFORMATION AND FINAL SUBMISSION

Sponsored Name * Yes No
IF Yes, Give the Sponsored Username
Final Submit *

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