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of Special Person
Sur Name
/ Age
Type of Disability
Address
Person for Contact
Attending any Institution of special person Yes or No
School Fees (Per Month)
Details of Education / Training received
Previously getting any assistance if yes Name the source
No of Family Members
Adults
Minors
No of Earning Members
Source of income
Monthly income members
Status of residents own or rented
If rented monthly rent
   
 
   
   
   
   
   
   
   
   
   
     

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