Enquiry Form for Online Special Education, Joyful Care and Therapy
After submission, our team will take about 72Hrs to respond.
Call MANOVIKAS team on +91- 99111 07772 for Person Centred Planning to start Online Programme.
Email address *
Name of the Person with Disability (Divyangjan) *
Name of the Parent/Guardian/Caregiver *
Age of the Person with Disability (Divyangjan) *
Gender of the Person with Disability (Divyangjan) *
Type of Disability (Divyangata) *
Online Special Education/Care/Skill Training/Therapy requested *
Mobile Number *
E-mail ID *
Do you have Internet Connectivity in home *
Do you or your child use Computer/Laptop/Mobile *
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