Audio/e text material request application form

Samanvai center for children with multiple disabilities is newly registered nonprofit service organization. We aim to provide educational, rehabilitation, financial and career guidance services for multi disabled people, mainly students.
This is a small application form for students to request specific educational material. Please fill all your requirements so that we can help you with proper material. And future contact between us. We would like to help our students in future opportunities in terms of employment and others. So please provide accurate contact details so that we can contact you! Please don’t write lengthy explanations. Be clear and straight to the point.

    Personal Information

    Please attach a passport-size photograph in the space provided
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