GLOBAL A.I.D (Ability In Disability) (www.globalaid.in) is a cross disability organization requesting all persons with disabilities to send their info for their upcoming “ABILITY DIRECTORY” a data directory of persons with disabilities, NGOs, Corporate, service providers, everyone and any one related to disability field.  The directory will be first ever full contact information directory

ABOUT US & BY US, which is going to be available in online (Website) Offline (printed book) mode.

Hence we request you all to send an e-mail/call at the following numbers to get your directory form. It’s absolutely free! Fill the form and send to us!

You will be placed in ABILITY DIRECTORY’2011

Contact: Ms. Mohini Sharma- Media Relations- +91-982-000-2577

email:mail2mohinisharma@gmail.com

Mr. Rishab Patel- Media Relations-+91 969-926-6922

e-mail: rishabpatel83@live.com

Mrs. Sai Padma- President- +91 905-262-7070

e-mail: saipadma@gmail.com

COME, FILL THE FORM, BE PART OF WORLD WIDE WEB OF ABILITY

ABILITY DIRECTORY FORM

PARTICULARS DETAILS                                      TO BE FILLED

NAME

FATHER/ SPOUSE/ GAURDIAN NAME

PHONE NUMBER                     Mobile

Landline

ADDRESS                                     Permanent

Temporary

(don’t write if same as above)

 

DATE OF BIRTH

E-MAIL

TYPE OF DISABILITY           Nature/Name/Type/ %/ etc

DO YOU USE MOBILITY AIDS?

IF USE ANY (FURNISH DETAILS)

BLOOD GROUP

EDUCATIONAL QUALIFICATIONS

PROFESSION / OCCUPATION/ EMPLOYMENT STATUS

CAN BE CONTACTED

DETAILS OF CONTACT PERSON (in case of emergency)

INTERESTS (Optional)

For Ex. Networking/Employment/ Travelling/ Recreational/ Matrimonial/others

REMARKS (Optional)