{1)The Rajasthan Persons with - Disabilities (Equal Opportunity, - Protection of Rights and Full Participation) rules, 201 1:are hereby repealed.
(2) Notwithstanding the repeal of the said rules, anything dene or any action taken under the said rules, shall be deemed to have been ) done 0 or r taken under the corresponding provisions of these rule.
. 5-1, Name of Applicant:
te To - Form A Cn Application. for Certificate of | Registration/Renewal pre A
2. Address and Telephone Number: - So
3. (i) Name of the Act under which the institute is already registered,
(ii) Registration number. And date of Registration:
. - (Please attach a photocopy) 4, Memorandum of association and bye-laws of the institutions;
~-+ (Please attach a photocopy) .5. Name, Address, Occupation and other particulars of the SEAN members of the Board of f Manggement/Governing body of the. Institution;
Present Activities of the Institutions:
Present Membership strength and Categorization of the Institution. List of documents to be attached
(a) A copy of the annual report for the previous year,
(b) Audited statement of Account duly certified by Chartered Accountant for the last two years :
(c) Details of Staff Employed by the Institutions.
@ Detail of beneficiaries . to be covered by the eel, ...... of the Institutions.
(¢) If Hostel is maintained, the number of hostelers, - (f) Whether the Institute is located on its own / rented building (Necessary evidence to be attached)
8. In case of renewal original certificate shall be attached.
Cari, N o Name: . ’ :
Designation: Signature of Applicant Address: - a } "Date:
Office Stamp:
+123(24) RISA _X[S—Y7, Sal 24, 2019 qT -4_(7) ~ Form B :
‘Registration Certificate - © (Seerule 7) Government of Rajasthan ER Directorate, Special Abled Persons - Serial No. ho 3 } Nn oo Dated:
Under sub- section @ of section 51 of the Rights of Persons with Disabilities Act, 2016 ...... as ererrraea is registered by the Director, Special Abled Persons. This certificate -is valid from :
date........c.... 10 eenne. (for five years).
Application for renewal of the above certificate ay be’ submitted before 60 days of the. expiry of the dated .... Fa of certificate. = :
— Director Special Abled Persons Ea ORR je A rere, /2018/ 17000] - By order of the Governor, ifs RR, Principal Secretary to the Government.
Government Central Press, Jaipur.