Legal Guardianship Application

कानूनी संरक्षकता आवेदन — Please fill all steps carefully. Fields marked * are mandatory.

Personal
Details

Attachments
Details

Proposed Guardian's
Details

Applicant
Details

🔍

Beneficiary UDID Verification / लाभार्थी यूडीआईडी सत्यापन

Verify UDID to auto-fill beneficiary details

Important / महत्वपूर्ण Please do not use any slashes (/) in case of enrolment number.
कृपया नामांकन संख्या भरते समय स्लैश (/) का उपयोग न करें।

Select ID Type / आईडी प्रकार चुनें

UDID Card No. / यूडीआईडी कार्ड नंबर Enroll No. of UDID / नामांकन नंबर

UDID / Enrollment Number *

Date of Birth / जन्म तिथि *

Personal Details of Person with Disability (PwD)

दिव्यांग व्यक्ति का व्यक्तिगत विवरण

Basic Information / मूलभूत जानकारी

Name of Person with Disability (PwD) / दिव्यांग व्यक्ति का नाम *

Date of Birth / जन्म तिथि *

Age / आयु

Gender / लिंग *

Male / पुरुष Female / महिला

Marital Status / वैवाहिक स्थिति *

Single / अविवाहित Married / विवाहित

Family Details / पारिवारिक विवरण

Father's Name / पिता का नाम *

Mother's Name / माता का नाम *

Address Details / पता विवरण

Address / पता *

State / राज्य *

District / जिला *

Pincode / पिन कोड *

PwD Aadhaar Card No. / आधार कार्ड नंबर *

PWD Document & Asset Details

दिव्यांगता प्रमाण पत्र एवं संपत्ति विवरण

📌 File Upload Instructions (i) PDF files must be less than 5MB | (ii) JPG/PNG must be less than 35KB | (iii) Do not use the same filename for two or more files.

Residence Proof / निवास प्रमाण

Attach Proof of Residence of PwD (PDF) *

Disability Information / दिव्यांगता जानकारी

Disability Type / दिव्यांगता प्रकार *

Issuing Authority of Disability Certificate / दिव्यांगता प्रमाण पत्र जारी करने वाला प्राधिकरण *

The Disability Certificate should be from any recognized Government Hospital.

Issuing Authority Name

Designation

Address

Contact Number

Attach Disability Certificate (PDF) *

PwD Asset Details / दिव्यांग व्यक्ति की संपत्ति विवरण

PwD does not have Movable Property (Select this option in case of No movable property)

Details of Movable Property on which PwD has share *

Attach Proof of Movable Property (PDF) *

PwD does not have Immovable Property (Select this option in case of No immovable property)

Details of Immovable Property on which the PwD has share *

Survey No.	Village / Town	Measurement / Area	Other Information

Ministry of Social Justice and Empowerment (MSJE)