Wards :
---Select Ward---
Kapra-1
Cherlapalli-2
Mallapur-3
Nacharam-4
Uppal-5
Habsiguda-6
Ramanthpur-7
Kothapet-8
Mansoorabad-9
Hayathnagar-10
Vansathalipuram-11
Karmanghat-12
Champapet-13
Saroornagar-14
Rama Krishna Puram-15
Gaddiannaram-16
P&T Colony-17
Moosarambagh-18
Saidabad-19
I.S.Sadan-20
Santoshnagar-21
Riyasat Nagar-22
Kanchanbagh-23
Barkas-24
Chandrayan gutta-25
Jangammet-26
Uppuguda-27
Lalithabagh-28
Rain Bazar-29
Kurmaguda-30
Chavni-31
Akberbagh-32
Saleem Nagar-33
Old Malakpet-34
Azampura-35
Dabeerpura-36
Noorkhan Bazar-37
Pathergatti-38
Talabchanchalam-39
Moghalpura-40
Gowlipura-41
Aliabad-42
Falaknuma-43
Nawabsaheb Kunta-44
Jahanuma-45
Fathe Darwaza-46
Shali Banda-47
Hussain Alam-48
Ghansi Bazar-49
Begum Bazar-50
Gosha Mahal-51
Dhoolpet-52
Puranapul-53
Doodbowli-54
Ramnaspura-55
Kishanbagh-56
Shivarampally-57
Mylardevpally-58
Rajendra Nagar-59
Attapur-60
Karwan-61
Ziaguda-62
Dattathreyanagar-63
Manghalhat-64
Asifnagar-65
Muradnagar-66
Mehdipatnam-67
Gudimalkapur-68
Lunger House-69
Tolichowli-70
Nanalnagar-71
Ahmed Nagar-72
Vijayanagar Colony-73
Chintalbasti-74
Mallepally-75
Red Hills-76
Jambagh-77
Gunfoundry-78
Sultan Bazar-79
Himayathnagar-80
Barkatpura-81
Kachiguda-82
Golnaka-83
Amberpet-84
Bagh Amberpet-85
Vidyanagar-86
Nallakunta-87
Bagh Lingampally-88
Adikmet-89
Ramnagar-90
Musheerabad-91
Bholakpur-92
Gandhinagar-93
Kavadiguda-94
Domalguda-95
Khairtabad-96
Panjagutta-97
Somajiguda-98
Ameerpet-99
Balkampet-100
Sanathnagar-101
Erragadda-102
Vengalrao Nagar-103
Srinagar Colony-104
Banjara Hills-105
Yousufguda-106
Rahamath Nagar-107
Borabanda-108
Jubilee Hills-109
Shaikpet-110
Gachibowli-111
Serilingampally-112
Hafeezpeta-113
Chanda Nagar-114
RamaChandrapuram-115
Patancheruvu-116
KPHB Colony-117
Moosapet-118
Mothinagar-119
Fathe Nagar-120
Old Bowenpally-121
Kukatpally-122
Vivekananda Nagar Colony-123
Hydernagar-124
Gajula Ramaram-125
Jagadgiri gutta-126
Chintal-127
Shapur Nagar-128
Suraram Colony-129
Jeedimetla-130
Qutubullapur-131
Alwal-132
Machabollaram-133
Yapral-134
Defence Colony-135
Moula Ali-136
Safilguda-137
Gautham Nagar-138
Old Malkajgiri-139
Tarnaka-140
Mettuguda-141
Seethaphalmandi-142
Boudha Nagar-143
Chilkalguda-144
Padmarao Nagar-145
Bansilalpet-146
Ramgopal pet-147
Begumpet-148
Marredpally-149
Addagutta-150
*
Circle No & Name :
---Select Circle---
*
Zone :
---Select Zone---
Mandal :
-- Select Mandal--
Charminar
Bahadurpura
Bandlaguda
Asif Nagar
Golkonda
Khairatabad
Ameerpet
Thirumalgiri
Saidabad
Amberpet
Nampally
Musheerabad
Secunderabad
Himayath Nagar
Maredpally
Shaikpet
Hiyathnagar
Balanagar
Uppal
Malkajgiri
Serilingampally
Quthbullapur
Rajendra Nagar
Saroor Nagar
Maheshwaram
Keesara
GhatKeesara
Mallepally
Malakpet
Rcpuram
Patancheru
*
Assembly Constituency No & Name :
-- Select Assembly Constituency--
Patancheruvu-40
Malkajgiri-44
Quthbullapur-45
Kukatpally-46
Uppal-47
L.B Nagar-49
Maheshwaram-50
RajendraNagar-51
Serilingampally-52
Musheerabad-57
Malkpet-58
Amberpet-59
Khairatabad-60
Jubileehills-61
Sanathnagar-62
Nampally-63
Karwan-64
Goshamahal-65
Charminar-66
Chandrayangutta-67
Yakatpura-68
Bahadurpura-69
Secunderabad-70
Secb.Contonment-71
Name (Including Surname) :
*
Father/Husband's Name :
Sex :
-- Select Sex--
Male
Female
Date Of Birth :
Age (In Years) :
*
Blood Group :
-- Group --
A+ve
A-ve
B+ve
B-ve
O+ve
O-ve
AB+ve
AB-ve
Name to be Displayed on ID card :
*
UID Number(If available) :
Full Address :
Pin code :
Mobile No :
*
Email-Id :
Nationality :
Religion :
-- Select --
Hindu
Muslim
Christian
Sikku
Bhuddisim
Jainisim
Others
Caste :
-- Select --
OC
BC
SC
ST
*
Martial Status :
-- Select --
UnMarried
Married
Widow
Divorced
Educational Qualification:
-- Select --
Illetrate
Up to 5th class
Up to 9th class
SSC
Intermediate
Degree
PG
Other(Diploma/polytechnic/Vocational etc)
*
Do you Possess Disability Certificate :
-- Select --
Yes
No
*
Type of Disability Certificate :
-- Select --
SADAREM Certificate
Manual Certificate
*
Disability Certificate No :
*
Certificate issued by which Dist.Medical Board :
*
Percentage of Disability :
%
*
Date of issue of Disability Certificate :
*
Nature of Disability :
-- Select --
Orthopedical
Visual
Mentally Retarded
Hearing
Mentally Ill
Multiple Diabilities
Leprosy Cured
None
*
Type of Pension receiving :
-- Select --
Disabled
Old Age
Widow
Weavers
No Pension
*
Type of Ration Card :
-- Select --
White
Pink
Annapurna
Anthyodaya
No Card
*
Ration Card No :
*
Type of appliance Using :
Type of appliance Required :
Type of Surgery Undergone(if any) :
-- Select --
Polio Corrected Surgery
Cochlear
Eye Surgery
Tongue Tie/Release
Cleft Lip & Cleft palate
Post Burns & Contractures
None
Type of Surgery Required(if any) :
-- Select --
Polio Corrected Surgery
Cochlear
Eye Surgery
Tongue Tie/Release
Cleft Lip & Cleft palate
Post Burns & Contractures
None
Details of the house :
-- Select --
Own
Rented
Shelter less
Occupational Status :
-- Select --
Self employed
Salaried (Govt.)
Salaried (Private)
Regular Wage
Casual Labour
Others
Whether intrested in any skill trainings :
-- Select --
Yes
No
*
Member of Self Help Group of Disabled :
-- Select --
Yes
No
*
If Yes,Write The name of the Self Help Group :
Benefits being availed :
-- Select --
Bus Pass
Railway Pass
Both
None
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