(i) providing financial assistance for persons with disabilities and implementing schemes to further the purposes of the Act;
(ii) administrative and other expenses of the Fund, as may be required to be incurred by or under the Act not exceeding two percent of the purposes of fund in any financial year; and
(iii) such other purposes as may be decided by the governing body.
(2) Every proposal of expenditure shall be placed before the governing body for its approval.
(3) The State Fund shall be invested in such manner as may be decided by the governing body.
(4) The Accounts Officer of the State Fund shall prepare the accounts of revenue and expenditure under the State Fund for each financial year, not later than September 30th of the next financial year and shall place the same for the approval of the governing body. The Accounts shall be audited by the Comptroller and Auditor General of India.
tamil nadu government gazette extraordinary 9 Schedule - I Form – I [See rules 5(2)(i) and (ii)] Form of application to the designated authority by a person with disability, parent, relative or a registered organisation for appointment of limited guardian.
From Date:
To The District Collector (Designated authority) Sir/Madam, ______________________ is a person with disability and require a limited guardian to take legally binding decisions regarding______________________. I / We hereby request that ______________________ be appointed as limited guardian of the said ______________________ for______________________ purpose for a period of______________________.
We furnish hereunder further details and request early decision.
1. Particulars of the person with disability:
1. Name of the person with disability
2. Complete postal address
3. Age
4. Male/female
5. Type of disability and percentage of disability (Xerox copy to be enclosed)
6. ID card No/UDID No (Xerox copy to be enclosed)
7. Aadhar card No.
(Xerox copy to be enclosed)
8. Contact No.
tamil nadu government gazette extraordinary 10
2. Particulars of the applicant:
1. Name of the applicant
2. Complete postal address
3. Age
4. Male/female
5. Relationship with person with Disability
6. Type of disability and percentage of disability of person with Disability (Xerox copy to be enclosed)
7. ID card No/UDID No of person with disability (Xerox copy to be enclosed)
8. Aadhar card No. of the applicant (Xerox copy to be enclosed)
9. Contact No.
3. Particulars of the persons or registered organisation proposed to be appointed as limited guardian:
1. Name
2. Postal address
3. Age
4. Male/female
5. Relationship with person with disability
6. Details of registration, in case of registered organisation
7. Contact phone no.
(i) Landline
(ii) Mobile
8. Purpose for which limited guardianship is required (Please attach documents if any)
9. Period for which the support of limited guardianship is required
10. Details of situation if any which warrants limited guardianship (Please describe) tamil nadu government gazette extraordinary 11 Consent of the person to be appointed as limited guardian.
I/We hereby agree to be the limited guardian of ________________________________for a period of____________and shall discharge my / our obligation with due diligence.
Signature of the Signature of the applicant / Person with disability proposed limited guardian/s tamil nadu government gazette extraordinary 12 Form – II [See rule 5(2)(vi)] Form of Confirmation of appointment of limited guardian on application made by (1) person with disability
(2) a registered organisation or (3) parent or relative of person with disability I Mr/Mrs/Selvi.______________________, District Collector, _______________District having considered the application made by ________________________ hereby appoint ________________________ as limited guardian for Mr/Ms.
________________________ (name of the person with disability) for a period of ___________________ for the purpose of taking legally binding decisions regarding _______________________. The obligations of limited guardian shall be as listed below:
Place: Signature of Designated authority Date: Stamp/seal:
joint photo of limited guardian and person with disability tamil nadu government gazette extraordinary 13 Form - III [See rules 8(1)&(4)] Application for Certificate / Renewal of Registration
1. Name of the Institution :
2. Administrative office: Address, Phone Number and email ID of the Institution :
3. Place of Institution: Address, Phone Number and email ID of the Institution
4. Applicant is • An institution registered under the Tamil Nadu Societies Registration Act 1975 (Tamil Nadu Act 27 of 1975) • A public Trust registered under any law for the time being in force Indian Red cross society or its branches • Company registered under Section 25 of the erstwhile Companies Act, 1956 (Central Act 1 of 1956) • Any other Institution (Details of registration with the name of the Act) which may be recognized by the Ministry for the purpose of this Scheme (Details of Registration with the name of Act) (Copy to be enclosed).
:
5. Date of registration of the Institution :
6. Brief history of the Institution and of its objects and activities :
7. Type of services rendered by the Institution (indicate specified disability wise)
8. Whether recognized by the Government, if so provide details :
9. Copy of previous certificate of Registration issued under sub-section (2) of Section 51 of the Act or the Persons with Disabilities (Equal Opportunities, Protection of Rights and Full Participation) Act, 1995 (Central Act 1 of 1996) :
10. Whether located in its own or rented building and provide address details.
If rented, enclose rental agreement copy.
:
11. Present number of beneficiaries with disabilities (S. No., Name, Address, Age, Sex, Type of specified disability, Percentage of disability and ID Card / UDID Card No.)
:
tamil nadu government gazette extraordinary 14
12. Mandatory Documents:
a) L icense permitting the use of the Institution as public building under the Tamil Nadu Public Buildings (Licensing) Act, 1965 (Tamil Nadu Act 13 of 1965);
b) Blue Print of the Building map drawn by qualified engineer;
c) Self declaration regarding provision of adequate sanitary facilities separately for staffs/teachers and pupils (male and female separately);
d) No Objection Certificate from the Station Officer, Fire and Rescue Services department, in the area where the Institution is situated; and e) Self declaration that no thatched structure shall exist in the premises of the Institution.
13. · Whether trained staff and other suitable facilities for undertaking the project are available. If so, give details.
· In case new staff is to be appointed. give details of the qualifications, academic, professional and experience prescribed for the purpose.
· Number of employees working in the organization– whether they are full time or part time (Recognized by Rehabilitation Council of India/ State Government/ Central Government)
14. List of papers / statements to be attached:
(a) C onstitution of the organization;
(b) C onstitution of Board of Management with particulars of each member;
(c) A statement indicating equipment, apparatus, furniture, library books etc., (by number of details whichever is possible) already available and a separate statement indicating the details of items purchased with financial assistance from the Government.
15. Details of barrier free facilities in the Institution
16. Recreation / Sports facilities
17. Transport and attendant facilities for persons with disabilities
18. List of additional information, if any Place: Signature:
Date: Name of Applicant:
tamil nadu government gazette extraordinary 15 Form - IV [See rule 8(2)] Facilities and standards to be met by institutions for grant of Certificate of Registration
(1) (a)
(b)
(c)
(d) License permitting the use of the institution as public building under the Tamil Nadu Public Buildings (Licensing) Act, 1965 (Tamil Nadu Act 13 of 1965);
Blue Print of the Building map drawn by qualified engineer;
No Objection Certificate from the Station Officer, Fire and Rescue Services department, in the area where the institution is situated; and Self declaration that no thatched structure shall exist in the premises of the institution.
(2) Ownership of building or valid rental agreement for the building.
(3) Provision of barrier free facilities applicable for the category of disability being dealt with by the Institution.
(4) Employment of qualified professionals as per the guidelines of Government /Rehabilitation Council of India in the Institution.
(5) Provision of adequate furniture, teaching/learning/ training aids and equipment.
(6) The standards mentioned in serial numbers (1) and (2) above are not applicable to institutions providing services to persons with disabilities at the field level such as community based rehabilitation services, awareness programme, distribution of aids and appliances, medical camp etc which does not require a permanent infrastructure like class room, training room and residential facilities.
tamil nadu government gazette extraordinary 16 Form – V [See rule 8(3)] COMMISSIONERATE FOR WELFARE OF THE DIFFERENTLY ABLED PERSONS, LADY WILLINGDON COLLEGE CAMPUS, KAMARAJAR SALAI, CHENNAI - 600 005.
CERTIFICATE OF REGISTRATION / RENEWAL Registration is awarded / renewed to . as an Institution for the Persons with Disabilities vide S. No___________________ on ------------------------under sub-section (2) of section 51 of the Rights of Persons with Disabilities Act, 2016 (Central Act 49 of 2016) to run----------------- (residential/non-residential/day care /community based rehabilitation programme/awareness programme) ______________ .This certificate of registration is valid for the period commencing from _________ to ________.
C OMMISSIONER FOR WELFARE OF THE DIFFERENTLY ABLED tamil nadu government gazette extraordinary 17 Schedule – II [See rules 10(1) and (3)] List of Certifying Authority for the issue of disability certificate Table - I S.
No.
Specified disability Medical Authority for the purpose of the issue of disability certificate Certifying authority to issue certificate of disability
1. In case of amputation or complete permanent paralysis of limbs or dwarfism Hospitals/ Institutions/ Primary Health Centres run by Central and State Government/ Statutory Local bodies Any doctor/ medical practitioner working in the Hospitals/ Institutions/ Primary Health Centres run by Government/ Statutory Local bodies.
2. Multiple Disability District Hospital/ Other hospitals/ Institutions run by Central and State Government /Statutory Local Bodies having relevant medical specialist and testing/assessment facilities Medical Board consisting of three members of whom two will be specialist dealing with relevant disabilities
3. Specified Disabilities not mentioned in Serial numbers 1& 2 above Hospitals/ Primary Health Centers / Institutions run by Central and State Government/ Statutory Local bodies having relevant medical specialist and testing/ assessment facilities A specialist dealing with the relevant disability as specified in the Table - II given below tamil nadu government gazette extraordinary 18 Table – II Sl. No. Category Specialist
1. Locomotor disability other than amputation or complete permanent paralysis of limbs and dwarfism Specialist in Physical Medicine and Rehabilitation or Orthopaedician.
2. Muscular Dystrophy Specialist in Physical Medicine and Rehabilitation or Orthopaedician.
3. Leprosy cured person Specialist in Physical Medicine and Rehabilitation or Orthopaedician.
4. Cerebral Palsy Specialist in Physical Medicine and Rehabilitation or Orthopaedician.
5. Acid Attack Victim Specialist in Physical Medicine and Rehabilitation or Orthopaedician.
6. Blindness Specialist in the field of Ophthalmology.
7. Low Vision Specialist in the field of Ophthalmology.
8. Deaf Specialist in the field of Ear, Nose, Throat (E.N.T).
9. Hard of Hearing Specialist in the field of Ear, Nose, Throat (E.N.T).
10. Speech and Language Disabilities Specialist in the field of Ear, Nose, Throat (E.N.T) and Neurologist.
11. Intellectual Disability Children with intellectual disability below the age of 18 years – Paediatrician or Paediatric Neurologist or Psychiatrist.
Adults with intellectual disability above the age group of 18 years – Psychiatrist.
12. Specific Learning Disabilities Medical board consisting of a) Paediatrician; and b) Psychiatrist and Trained psychologist.
13. Autism spectrum disorder Medical Board consisting of a) Psychiatrist and Trained psychologist; and b) Paediatrician or General Physician.
14. Mental Illness Psychiatrist.
15. Chronic Neurological Conditions such as Multiple Sclerosis and Parkinson’s Disease Medical Board consisting of a) Psychiatrist and Trained Psychologist; and b) Neurologist; and c) Orthopaedician or Specialist in Physical Medicine and Rehabilitation.
16. Hemophilia Hematologists or Orthopaedician or Paediatrician or General Physician.
17. Thalassemia Hematologists or Orthopaedician or Paediatrician or General Physician.
18. Sickle Cell Disease Hematologists or Orthopaedician or Paediatrician or General Physician.
C .Vijayaraj Kumar, Secretary to Government.
printed and pub lished b y t he Director of Stationery and p rinting, chennai on b ehalf of t he Government of Tamil Nadu