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 *
Your answer
Current Address *
Your answer
Permanent Address(Write "Same as current address" if same as current address.) *
Your answer
Mobile Number *
Your answer
Landline Number
Your answer
Email ID *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Marital Status *
Nature of Blindness *
Cause of blindness
Your answer
Age at which blindness occurred *
Your answer
Any other illness or disability *
Your answer
Educational Qualification (mention if any specialization done) *
Your answer
Braille knowledge *
Languages Known *
Your answer
Any special skills, aptitude, etc.
Your answer
Extra-curricular Activities
Your answer
Occupation Details *
Enroll me as *
*
Required
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