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Home
About
About Us
Aim
Office Bearers
Membership
New Membership
Renewal
Our Community
Projects and Services
Independence Market
Counselling
Scholorship
Legal Awareness
Concession
Our Supporters/Well Wishers
Education
Training
Donations
Pages
Achievements
Programs
Employment
News
Events
External Links
Downloads
Gallery
Contact
Registration Form
KERALA FEDERATION OF THE BLIND
Home
Registration
Sign Up Your User Account
Personal
Accademic/Professional
Address
Payment
Personal Details:
Step 1 - 4
Full Name: *
Gender: *
Choose Gender
Male
Female
Transgender
Date Of Birth: *
Spouse:
Mobile: *
Mail Id:
Blood Group:
Religion:
Cast:
Photo (JPG/JPEG/PNG): *
Details Of Blindness
Reason / Particulars: *
Medical Certificate (PDF/DOCX/JPG): *
Age From: *
Fully / Partial: *
Choose
Fully
Partial
Percentage Of Blindness: *
Accademic / Professional Details:
Step 2 - 4
Profession: *
Choose Profession
Educationalist
Coolie
Lottery Agent
Social Worker
Health Worker
Professional
Unemployed
Details
Experience:
Annual Income: *
Choose
Below Rs.10000
Rs.10000 - Rs.25000
Rs.25000 - Rs.50000
Rs.50000 - Rs.100000
Rs.100000 - Rs.200000
Rs.200000 - Rs.500000
Above Rs.500000
Qualification: *
Choose Qualification
Below SSLC
Secondary
Higher Secondary
Graduate
Post Graduate
Diploma
ITI
Other
Details
Address:
Step 3 - 4
Permenant Address
House Name: *
Post: *
Locality: *
Village: *
State: *
Choose
Kerala
District: *
Choose
Thiruvananthapuram
Kollam
Pathanamthitta
Alappuzha
Kottayam
Idukki
Ernakulam
Thrissur
Palakkad
Malappuram
Kozhikode
Wayanad
Kannur
Kasaragod
Thaluk: *
Choose
PIN: *
Present Address
House Name: *
Post: *
Locality: *
Village: *
State: *
District: *
Thaluk: *
PIN: *
Parents Details
Father's Name: *
Father's Mobile: *
Father's Profession: *
Father's Annual Income: *
Mother's Name: *
Mother's Mobile: *
Mother's Profession: *
Mother's Annual Income: *
Parents Address
House Name: *
Post: *
Locality: *
Village: *
State: *
District: *
Thaluk: *
PIN: *
Payment
Fee : Rs.75 / Year
Step 4 - 4
Choose Period (In years): *
Choose
1
2
3
4
5
6
7
8
9
Life long
Total Fee:
Payment Mode: *
Choose
Cash
Bank
Date Of Payment: *
Reference Id: *
** I agree to these
Terms and Conditions.
KFB QR Code
Bank Details
Kerala Federation of the Blind Kannur
Account Number : 42342200006255
Name Of the Bank : Canara Bank Dharmasala
IFSC Code : CNRB0014234
Submit..