Information Collection For Special PDS Card For Physically Challenged Person

Start filling the information form in the following steps:
1. District * 2. Block/ULB *
Beneficiary Details
5. Name * 6. Age *
7. Gender * 8. Relation *
9. Relation’s Name *  
10. Disability details
10(a). Disability Type * 10(b). Percentage of Disability % *
10(c). Disability Certification Number * 10(d). Certificate Date *
11.Authorized Member to Take Ration(if any)
11(a). Name of the Authorised Member * 11(b). Relationship with the Disabled person *