DAND - Membership Form
Discover A New Dawn (D.A.N.D)

A Social Welfare Organization working for People with Disabilities

Certified u/s 52(2) & (4) of the Persons with Disabilities Act, 95 of Social Welfare Department W.B.

Registered u/s 12A(a) of Income Tax Act, 1961

Registered u/s 80G(5)(vi) of the Income Tax Act, 1961

Registered Address - 8/5 Nepal Bhattacharya Street, Kolkata – 700 026.

Contact no – 91 8697105299    
Email id – contact.dand@gmail.com     
Website – www.dandability.org
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Full Name *
Contact Number *
Date of Birth *
Gender *
Marital Status
Clear selection
Educational Qualification
Present Occupation *
Address/Location *
Email Id
Are you disabled ? *
If YES, ‘Type of Disability’ as per Disability Certificate
If YES, ‘Percentage of Disability’ as per Disability Certificate
Are you a member of any other organization ? *
If YES, name of the organization
How do you like to contribute or get involved with DAND? *
Required
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