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NAB Talking Book Library Membership Form
Needs to be filled by any Visually Challenged person to get the service of the Talking Book Library

Library Address:
National Association for the Blind, India
M. P. Shah All India Talking Book Centre
11/12, Khan Abdul Gaffar Khan Road, Worli Seaface
Mumbai 400 030

Phone: 24952913 / 24935370 / 24935365 / 24932539 (Extension: 239)
E-mail: talkingbook@nabindia.info, nab.india.library@gmail.com
Website: http://www.nabindialibrary.in/ , www.nabindia.org

(1) Name of the beneficiary *
(2) Father’s Name *
(3) Mother’s Name *
(4) Husband’s Name
(5) Address *
(6) Phone
(7) E-mail ID
(8) Date of Birth *
MM
/
DD
/
YYYY
(9) Gender *
10) Category *
(11) Type of Disability *
(12) Percentage of Disability *
(13) Disability Certificate Number and Date *
(14) Disability Certificate Upload *
Required
(15) Aadhaar Number *
(16) Aadhar Upload *
Required
(17) Educational Qualification *
(18) Occupation
(19) For Students: Name of School / College Standard studying in
(20) For Working Blind Persons: Employer’s Name
(21) Would like to receive Audio Books in following languages (Select from English, Hindi, Marathi, Gujarati, Bengali, Kannada, Punjabi,Tamil
(22) Details of Payment (Check Terms and Conditions in http://www.nabindia.org/talking-books/ for modes of payments) *
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