Disabled Person Registration

Important Information

All fields marked with * are mandatory
Disability percentage must be at least 40% for certification
Documents must be clear, legible, and in PDF or image format
At least one ID proof (Aadhar or PAN) is required
Verification typically takes 3-5 business days
You will receive email updates about your application status

Documents Required

Mandatory Documents:

Passport size photograph
Government-issued disability certificate
Aadhar Card

Optional Documents:

PAN Card (Recommended)
Medical reports
Additional certificates

Accessibility Features

This form has been designed with accessibility in mind. It includes: proper ARIA labels for screen readers, keyboard navigation support, high contrast mode compatibility, and clear form validation messages.

Guardian Information (If applicable)

Guardian Full Name

Guardian Email

Guardian Phone

Personal Information

Full Name *

Aadhaar Number *

Email Address *

Phone Number *

Date of Birth *

Gender *

Address Information

Address Line 1 *

City *

State *

Pincode *

Disability Information

Type of Disability *

Disability Percentage (40%-100%) *

Describe Your Disability *

Document Upload

All documents must be clear and legible. Accepted formats: JPEG, PNG, WebP, GIF, PDF (Max 10MB each)

Passport Size Photo *

Recent passport size photograph (white background preferred)

Aadhar Card *

Upload your Aadhar Card (front and back)

PAN Card

Upload your PAN Card (if Aadhar not available)

Disability Certificate *

Government-issued disability certificate

Note: At least one ID proof (Aadhar or PAN Card) is mandatory for verification.