TAHDCO

Tamil Nadu Adi Dravidar Housing & Development Corporation Ltd.

ISO 9001 : 2015 Certified Company

Application form to Set-up Physiotherapy Clinic

Instructions to Applicant

Photo attachment in jpeg file upto 1 MB only allowed.
All other attachments in jpeg / pdf file upto 1 MB only allowed.

Personal Details

Applicant Name *

Father's Name *

Date of Birth *

Gender *

Religion *

Community *

Caste Name (As per Community Certificate) *

Address (Street 1) *

Street 2

Village/City *

Taluk *

District *

Pincode *

Community Certificate Number *

Aadhaar Number *

Family Card/ Ration Card Number *

Annual Family Income*

Education Qualification *

Phone *

Email ID

Present Occupation *

Whether the applicant/ family member has availed any assistance from TAHDCO?*

Yes

Place for which Physiotherapy clinic to be setup

Area/ Location to setup Physiotherapy clinic *

Documents Upload

Community Certificate *

Family Annual Income Certificate *

Ration Card *

Aadhaar Card *

Degree/ Diploma Certificate*

I hereby declare that the above information provided by me is true and correct to the best of my knowledge. I understand that, in future if the information furnished by me in the application is found to be incorrect my application is liable for rejection.

How much? 5 + 9 :