Blind Graduate's Forum of India Membership Form
To
The Hon-Secretary
BLIND GRADUATES FORUM OF INDIA

Dear Sir/Madam
I am in agreement with the aims and objectives of BLIND GRADUATES’ FORUM OF
INDIA and agree to abide by its rules and regulations made from time to time. My personal
details are as following –
Name *
Current Address *
Permanent Address(Write "Same as current address" if same as current address.) *
Mobile Number *
Landline Number
Email ID *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Marital Status *
Nature of Blindness *
Cause of blindness
Age at which blindness occurred *
Any other illness or disability *
Educational Qualification (mention if any specialization done) *
Braille knowledge *
Languages Known *
Any special skills, aptitude, etc.
Extra-curricular Activities
Occupation Details *
Enroll me as *
*
Required
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