Blind Job Worker Admission Form

Apply for Blind Student Admission and Begin Your Learning Journey

Our organization is dedicated to supporting visually impaired students by providing safe accommodation, education support, and essential facilities that help them continue their studies with confidence. We encourage parents and guardians to carefully fill out the admission form with accurate details so that we can better understand the student’s needs and provide appropriate support. Every application is an important step toward building a brighter future for visually impaired students.

Personal Information

First Name*

Fathers Name*

Email*

Phone*

Date Of Birth*

Parents Phone Number*

Birth Place*

Age*

Address*

Identification Information

Last Year Marksheet Percentage*

Upload Last Marksheet*

Upload Passport Size Photo*

Disability Certificate*

ST Bus Pass Frontside*

ST Bus Pass Backside*

Adhar Card FrontSide*

Adhar Card Backside*

Company Certificate*

Job Worker Signature*