Application for Enrollment as a Care Giver

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Sahyogi Scheme is started by National Trust, Ministry of Social Justice & Empowerment, Government of India.

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Number of Care Givers Deployed

Shishu Sarothi Centre for Rehabilitation and Training for Multiple Disability (Assam) - 15, Shri Shri Sewa Ashram, Dhemaji (Assam) - 14, Aakanksha (Chhatisgarh) - 53, Madhur Muskan (Jharkhand) - 7, Happy Family Health Care & Research Association (Uttarakhand) - 16, Swayamkrushi (Andhra Pradesh) - 25, Manovikas Charitable Society (New Delhi) - 13, Jeevoday Education Society, Special School for the MH (Maharashtra) - 29, Chetna (Himachal Pradesh)- 37, Sneha Sadan Complex, Ernakulam (Kerala) - 17, Sneh Sampada Vidhyalaya ( chhattisgarh)-17, PNR Society (Gujarat)- 15, Parents Association of Mentally Handicapped (Jharkhand, Jamshedpur)- 51, Centre for Rehab Service and Research (Orissa)- 19, Pingalakhi Public Welfare Organisation, Orissa (Puri)- 70, Rural Organisation for Social Eleavtion, Orissa (Mayurbhanj)-20, Rajasthan Prachya Shodh Peeth (Rajasthan)-10, Abhoy Mission (Swabalamban), Tripura-20, Voluntary Health Association of Tripura( Tripura)- 28, Pradip Centre for Autism Management (West Bengal)- 17, Disha (Haryana) - 25, Modern Education Society (Haryana) - 19, Shubhasheesh Siksha abam Vikas Sewa (Uttar Pradesh)- 15, Information Resource Centre (Karnataka)- 57, Ecomwel Orthopaedic Centre (Tamil Nadu) - 11

Applications Invited

If you want to become a Caregiver for persons with disability or, if you are a Person with Disability requiring a care-giver,Register Now! at www.sahyogi.org

Articles Invited

Articles are Invited on the issue of Care Givers covering any aspect. Please use the link provided at the bottom right.

Operational Care Giver Cells

22 Care Giver Cells operational..

34/1A, West Patel Nagar,
New Delhi-110008, India,
Ph.: 91-11-45660266
(M) : 09717170266

Care Giver Cell

Expand Care Giver Cell

Application for Enrollment as a Care Giver

Choose Zone

Zone / Area*
N.G.O. Name*

Personal Information

Name*
DOB*
Sex*
Maritial Status
Father/ Husband's Name*
Address	Max. 500 Chars.
State*
City
Pin Code
Address (2)
Contact No.
Mobile	0
Email
Do you have a Passport?	YesNo
Educational Qualification	NillCan Read & WriteOther

Employment Details

Experience
Name of Organisation
Address
Address (2)
Contact No(s).

Other

Ready to undergo training for the Care Giver?
Willing to work away from your place of residence
Ready to offer your services on a contract basis?

Your Expertise

Drive a car?

Drive Two wheeler?

Know Domestic Chores?

Know First Aid?

Cook?

Any other creative art, please mention

Have you any experience in

Disability realted issue?
Geriatrics/issues related to elderly people?
Are you trained by Rehabilitation Council of India

Other Personal Details

Brief Description

Date	Wednesday, February 08, 2012
Description
Photograph
I have understood the terms and conditions and nature of work including performing activities of daily living(eating, bathing, dressing, toileting, transferring, and maintaining continence and the instrumental activities of daily living. I will not leave the care seeker unless he/she gets suitable replacement.

Note

1	Before filling up the form, go through it carefully. Also read Sahyogi scheme in About Us
2	Hard copy of all requisite documents must be submitted within seven days on intimation of approval which will be subject to true and timely submission of duly signed hard copy of such documents
3	Please note that in case of any discrepancy found at any later stage between the on-line application and hard copies submitted, the CGC/TPA will be at liberty to cancel/ modify or withdraw its approval.

"" is Nodal Agency for Sahyogi Scheme.

Care Giver is the person, who will give/provide his/her services to the person who need the Care. The person desirous of becoming a Care Giver shall fill in an application form or apply on paper furnishing personal particulars.

Persons with autism, cerebral palsy, mental retardation and severe disabilities to be given preference. Persons with disabilities having difficulties in performing activities of daily living( ADL) and the elderly can also apply

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