ALI YAVAR JUNG NATIONAL INSTITUTE FOR THE HEARING HANDICAPPED
K.C. Marg, Bandra Reclamation, Bandra (w), Mumbai-400050.
(Department of Empowerment of Persons with Disabilities, Ministry of Social Justice and Empowerment, Government of India, New Delhi)

EXPRESSION OF INTEREST BY ASLPs/AVTs FOR PARTICIPATION
IN COCHLEAR IMPLANTATION UNDER REVISED ADIP SCHEME (2014-15)


APPLICATION FORM
The forms can be filled online and submit with all details. Alternatively a hard copy of the blank form can be taken (Click here to print blank form) , fill up and send with all required supporting documents to –

Director, Ali Yavar Jung National Institute for the Hearing Handicapped, K.C. Marg, Bandra Reclamation, Bandra (w), Mumbai-400050 superscribing ‘Expression of Interest by ASLPs/AVTs for Participation in CI service under ADIP’. Application with incomplete information will not be considered

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Qualification University Percentage /
Grades
Marks Obtained Attempts
if any
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:I, , hereby declare that the above stated information is true and I am willing to provide the services at the rate decided by the AYJNIHH.


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Documents details

Please Attach the attested true copies of the following

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