Assistance under the Central Scheme of Assistance to Disabled Persons for purchase/fitting of aids/appliances (ADIP Scheme) Funded By :- MINISTRY OF SOCAL JUSTICE & EMPOWERMENT, GOVERNMENT OF Implemeted by :- Shri Brahma Samaj Seva Trust - Patan Palce :- APMC Hall, , Dist :- Mahesana Date :- 20/05/2018

Total Traval Cost of cost Boarding Aid Whether whether Income Type of aid paid to and No. of days Mobile No and Sr Address of Male/ Age Date on which Include Subsidy any Surgical Total of + 11 accopan Adharca Name of Beneficiary per which outstio lodging for which Photo of Benifisharies land Line with No Beneficiary Famale years given Fabricat provided correction 12+13 ied by rd No. Annual (given) n expenes Stayed STD Code ion undertaken escort benefic pade Fitment iary Charges

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

Chaudhari Khara,Ta- 1 Rameshbhai Male 40 36000 Crutches 20/05/2018 900 ---- 900 -- 9824993037 Mahesana Maganbhai

Patel Ashaben 2 Bhunav, Ta-Unjha Famale 42 40000 Crutches 20/05/2018 900 ---- 900 -- 9727829201 Dahyabhai

Vanjara Pasabhai 3 Unjha Male 38 30000 Crutches 20/05/2018 900 ---- 900 -- 9898121493 Narjibhai

Chaudhari Dhinoj,Ta- 4 Prakashbhai Male 29 25000 Crutches 20/05/2018 900 ---- 900 -- 8401033560 Chansma kalabhai Nagar Jayaben 5 Visanagar Famale 31 20000 Crutches 20/05/2018 900 ---- 900 -- 7801818603 Dhirajkumar

Thakor Nitikumar 6 Kuda,Ta-Kheralu Male 24 45000 Crutches 20/05/2018 900 ---- 900 -- 9913588152 Iswarbhai

Prajapati 7 Nareshbhai Umta,Ta-Visnagar Male 24 42000 Crutches 20/05/2018 900 ---- 900 -- 9824194802 Bharatbhai

Turi Nitaben 8 Varvada,Ta-Unjha Famale 34 36000 Crutches 20/05/2018 900 ---- 900 -- 9825249372 Govindbhai

Parmar 9 Bhaveshbhai Aaithor,Ta-Unjha Male 34 52000 Crutches 20/05/2018 900 ---- 900 -- 8488842466 Khemchandbhai

Patel Hargovanbhai Rampura[Kansha], 10 Male 57 60000 Crutches 20/05/2018 900 ---- 900 -- 9909707737 Joitaram Ta-Visnagar

Chavda Bhikhaji Magroda,Ta- 11 Male 62 20000 Crutches 20/05/2018 900 ---- 900 -- 9426367397 Revaji Visnagar

Makvana Jetalvasna,Ta- 12 Hargovanbhai Male 46 39000 Crutches 20/05/2018 900 ---- 900 -- 9157373647 Visnagar Pasabhai Chaudhari 13 Dasrathbhai Unava,Ta-Unjha Male 33 60000 Crutches 20/05/2018 900 ---- 900 -- 9974252413 Joitabhai

Thakor Jagdishji Kharavda,Ta- 14 Male 26 40000 Crutches 20/05/2018 900 ---- 900 -- 9913502170 Hataji Visnagar

Kahipur,Ta- 15 Thakor Dilipji Magaji Male 37 45000 Crutches 20/05/2018 900 ---- 900 -- 7698887075 Vadnagar

Prajapati Bharatbhai 16 Nadari,Ta-Kalol Male 33 70000 Crutches 20/05/2018 900 ---- 900 -- 7801848872 Somabhai

Thakor Jasminbhai Mahervada,Ta- 17 Male 22 68000 Crutches 20/05/2018 900 ---- 900 -- 9974911227 Keshaji Unjha

Goswami Saileshgiri Mulsan,Ta- 18 Male 40 70000 Crutches 20/05/2018 900 ---- 900 -- 9662281027 Umedgiri Mahesana

Goswami Geetaben Mulsan,Ta- 19 Famale 40 45000 Crutches 20/05/2018 900 ---- 900 -- 9662281027 Saileshbhai Mahesana

Chaudhary 20 Manjulaben Unjha Famale 30 40000 Crutches 20/05/2018 900 ---- 900 -- 9106098507 Rameshkumar Bava Nikitaben 21 Male 25 45000 Crutches 20/05/2018 900 --- 900 - Kanjibhai Assistance under the Central Scheme of Assistance to Disabled Persons for purchase/fitting of aids/appliances (ADIP Scheme) Funded By :- MINISTRY OF SOCAL JUSTICE & EMPOWERMENT, GOVERNMENT OF INDIA Implemeted by :- Shri Brahma Samaj Seva Trust - Patan Palce :- APMC Hall, Unjha, Dist :- Mahesana Date :- 20/05/2018

Total Traval Cost of cost Boarding Aid Whether whether Income Type of aid paid to and No. of days Mobile No and Sr Address of Male/ Age Date on which Include Subsidy any Surgical Total of + 11 accopan Adharca Photo of Name of Beneficiary per which outstio lodging for which land Line with No Beneficiary Famale years given Fabricat provided correction 12+13 ied by rd No. Benifisharies Annual (given) n expenes Stayed STD Code ion undertaken escort benefic pade Fitment iary Charges

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

THAKOR BALUJI At.Tarabh 1 Male 30 25000 LK.K.A.F.O. 20/05/2018 3500 ---- 3500 --- 9974988718 BABUJI Ta.Visnagar

PATEL ASHOKBHAI At.UNJHA 2 Male 42 50000 LT.AK.PS 20/05/2018 8800 ---- 8800 --- 8154999435 SOMABHAI Dist.

PATHAN 3 INTIYAZHUSEN At.Dasaj Ta.UNJHA Male 54 35000 RT.K.A.F.O. 20/05/2018 3500 ---- 3500 --- 8980129277 RAHEMATKHAN

PATEL JASVANTLAL At.UNJHA 4 Male 50 80000 K.A.F.O 20/05/2018 3500 ---- 3500 --- 9979782068 KANTILAL Dist.Mehsana

THAKOR At.MOHANPUR 5 SARSVATIBEN Male 20 40000 A.F.O. - 02 20/05/2018 4400 ---- 4400 --- 9586351429 Ta.UNJHA BALVANTJI CHAUDHARY At.LAXMIPURA,Ta. B/L K.A.F.O - 6 RAMESHBHAI Male 41 60000 20/05/2018 7000 ---- 7000 --- 9824973037 MEHSANA 02 MAGANBHAI

PATEL SHANKUMAR At.GANGPURA 7 Male 11 55000 LT.CALIPERS 20/05/2018 3700 ---- 3700 --- 9726670274 KALPESHBHAI Ta.UNJHA

PARMAR At.PALODAR 8 PARESHKUMAR Male 33 75000 A.F.O. 20/05/2018 2200 ---- 2200 --- 9974167845 Ta.MEHSANA SEVANTILAL

CHAVDA At.SOBHASAN 9 KIRTIKUMAR Male 51 25000 RT.AKPS 20/05/2018 8800 ---- 8800 --- 9638593138 Ta.MEHSANA AMBALAL

VANJARA At.UNJHA CLUB SHUES - 10 Male 14 70000 20/05/2018 5600 ---- 5600 --- 9727549477 RAHULKALUJI Dist.Mehsana 02

PATEL MONIKABEN At.UNJHA B/C-K.A.F.O - 11 Female 40 116000 20/05/2018 7000 ---- 7000 --- 9408138445 RAMANLAL Dist.Mehsana 02

PATEL At.UNJHA 12 HASUMATIBEN Female 56 30000 RT.A.F.O 20/05/2018 2200 ---- 2200 --- 9428848360 Dist.Mehsana MOHANBHAI

PATEL NARMDABEN At.UNJHA 13 Male 54 24000 RT.K.A.F.O 20/05/2018 3500 ---- 3500 --- 7698183194 PARSOTAMBHAI Dist.Mehsana THAKOR BALDEVJI At.BHANDU 14 Male 52 35000 LT.B.K.PS 20/05/2018 6200 ---- 6200 --- 9979450463 CHATURJI Ta.VISNAGAR

CHAUDHARY At.DHINOJ B/L CALIPER - 15 PRAKASHBHAI Male 29 60000 20/05/2018 7400 ---- 7400 --- 8401033560 Ta.CHANSMA 02 KALABHAI

THAKOR SHAILESHJI At.MALEKPUR 16 Male 28 40000 RT.K.A.F.O 20/05/2018 3500 ---- 3500 --- 9726028697 NATVARJI Ta.VADNAGAR

PATEL TARUNKUMAR At.TUNDAV B/L CALIPER - 17 Male 19 45000 20/05/2018 7400 ---- 7400 --- 9979316845 RAMESHBHAI Ta.UNJHA 02

MAKVANA At.CHHATHIYARDA 18 RANJANBEN Female 47 20000 LT.K.A.F.O 20/05/2018 3500 ---- 3500 --- 8140765060 Ta.Mehsana BHARATKUMAR

PATEL KOKILABEN At.BHUNAV 19 Female 52 80000 RT.K.A.F.O 20/05/2018 3500 ---- 3500 --- 9408539138 RASIKLAL Ta.UNJHA

BHATT KAUSHIKABEN B/CH/K.A.F.O - 20 At.MEHSANA Female 38 30000 20/05/2018 7000 ---- 7000 --- 9924196675 BHAGIRATHBHAI 02

NAGAR JAYABEN 21 At.VISNAGAR Female 31 10500 LT.A.F.O. 20/05/2018 2200 ---- 2200 --- 7801818603 DHIRAJBHAI CHAVDA BHIKHUJI At.MANGRODA 22 Male 62 40000 LT.AKPS 20/05/2018 8800 ---- 8800 --- 9426367397 REVAJI Ta.VISNAGAR

KHATRI PRABHURAM At.UNJHA 23 Male 48 60000 LT.CALIPERS 20/05/2018 3700 ---- 3700 --- 9924964821 MAGHUJI Dist.Mehsana

PATEL DAHIBEN At.KANSA 24 Female 58 48000 BKPS 20/05/2018 6200 ---- 6200 --- 8128154215 NAVINCHANDR Ta.Visnagar

PRAJAPATI NENSIBEN At.UNJHA 25 Female 7 60000 B/C.A.F.O - 02 20/05/2018 4400 ---- 4400 --- 8141126419 DINESHBHAI Dist.Mehsana

SINDHI ROHITBHAI At.UNJHA 26 Male 18 80000 LT-AFO 20/05/2018 2200 ---- 2200 --- 7802084183 LALCHAND Dist.Mehsana

PARMAR MAFATLAL At.Gorisana 27 Male 65 30000 LT-AFO 20/05/2018 2200 ---- 2200 --- 9714024640 VISABHAI Ta.Kheralu

THAKOR VINATBEN At.Mirajpura SHOE CLAB - 28 Female 31 30000 20/05/2018 5600 ---- 5600 --- 9824475551 GIRISHBHAI Ta.Vadnagar 02

CLAB+STATIC PATEL VISHVA At.Shankarpura 29 Female 16 120000 +ELBOW 20/05/2018 4900 ---- 4900 --- 9978269075 GIRISHBHAI Ta.unjha BRACE THAKOR SAVITABEN At.khara 30 Female 54 30000 B.K.P.S 20/05/2018 6200 ---- 6200 --- 9726665747 AMARAJI Ta.Mehsana

RANA PRAHLADBHAI At.Vihoda 31 Male 50 15000 A.F.O 20/05/2018 2200 ---- 2200 --- 9601632774 KEHAJI Ta.Kheralu

PATEL BHARATBHAI At.UNJHA 32 Male 48 60000 LT.K.A.F.O 20/05/2018 3500 ---- 3500 --- 9978836939 KANAJI Dist.Mehsana

THAKOR BHALAJI At.Champa 33 Male 60 29000 A.K.P.S 20/05/2018 8800 ---- 8800 --- 9624390964 KANUJI Ta.Vadnagar

RAVAL MINABEN At.Kharod 34 Female 50 70000 AK BK BRACE 20/05/2018 2500 ---- 2500 --- 9998562862 SURESHKUMAR Ta.Vijapur

RAJPUT HARDIPSINH At.UNJHA B/C K.A.F.O - 35 Male 5 40000 20/05/2018 7000 ---- 7000 --- HARESHJI Dist.Mehsana 02

THAKOR PRAKASHJI At.Malekpur B/C K.A.F.O - 36 Male 22 30000 20/05/2018 7000 ---- 7000 --- 9904237892 JOYTAJI Ta.Vadnagar 02

KALVANI At.UNJHA 37 JITENDRAKUMAR Male 38 110000 A.F.O 20/05/2018 2200 ---- 2200 --- 9601016179 Dist.Mehsana GULABCHAND PATEL FREYA B/C K.A.F.O - 38 At.Kadli Male 4 54000 20/05/2018 7000 ---- 7000 --- 9998988744 PRAVINBHAI 02

THAKOR JUJARJI At.Ranchodpura RT.BKPs + 39 Male 61 30000 20/05/2018 8400 ---- 8400 --- 8140735736 RAJUJI Ta.Unjha A.FO

VAGHARI RAJUBHAI At.UNJHA 40 Male 32 32000 LT B.K.P/S 20/05/2018 6200 ---- 6200 --- 9978291923 MATUBHAI Dist.Mehsana

RAJPUT PRAVINJI At.Sidhpur 41 Male 45 20000 LT.AFO 20/05/2018 2200 ---- 2200 --- 7698042119 SARDARJI Dist.Patan

VARMA SUMITA B/C H.K.A.F.O 42 At.RANIP Female 32 72000 20/05/2018 7700 ---- 7700 --- 8156031260 RAMAKANT - 02

PATEL BABUBHAI At.Saripara 43 Male 44 16000 AK BK BRACE 20/05/2018 2500 ---- 2500 --- 8758182142 CHELABHAI Ta.Palanpur

PATEL GITABEN At.Motidau 44 Female 38 30000 Rt.K.A.F.O 20/05/2018 3500 ---- 3500 --- 8320216940 KIRTIBHAI Dist>Mehsana VANKAR LATABEN At.Sidhpur 45 Female 40 10000 Calipar 20/05/2018 3700 ---- 3700 --- 9722334336 ASHVINKUMAR Dist.Patan

THAKOR NENEJI At.Tarabh 46 Male 59 20000 LT.B.K.P/S 20/05/2018 6200 ---- 6200 --- 8238143971 SARDARJI Ta.Visnagar

RAVAL ASHABEN At.Ranasan 47 Female 49 40000 H.K.A.F.O 20/05/2018 3850 ---- 3850 --- 9904864834 BABULAL TA.Vijapur

PARMAR 48 VIJAYKUMAR At.Sunok Ta.Unjha Male 29 30000 Rt.K.A.F.O 20/05/2018 3500 ---- 3500 --- 9328689478 AMRUTBHAI

PATEL SHILPABEN At.UNJHA 49 Female 43 50000 Lt.K.A.F.O 20/05/2018 3500 ---- 3500 --- 9429732236 VIKRAMBHAI Dist.Mehsana

B/C k.A.F.O - RAVAL RINKUBEN At.UNJHA 02 50 Female 20 42000 20/05/2018 8300 ---- 8300 --- 9979519756 POPATBHAI Dist.Mehsana + STATIC SPLINT

RAVAL PRAVINBHAI 51 At.Mehsana Male 60 32000 Rt.BK P/S 20/05/2018 6200 ---- 6200 --- 9662193380 BABUBHAI

PATEL B/C H.K.A.F.O 52 BHARATKUMAR At.Randheja Male 51 60000 20/05/2018 7700 ---- 7700 --- 962488105 - 02 HARGOVANDAS PATEL At.UNJHA 53 CHIRAGKUMAR Male 30 49000 Rt.K.A.F.O 20/05/2018 3500 ---- 3500 --- 9429818996 Dist.Mehsana CHANDULAL

PRAJAPATI 54 RAMESHBHAI At.Sunok Ta.Unjha Male 47 70000 LT.BK P/S 20/05/2018 6200 ---- 6200 --- 9624718380 CHAMANJI

PRAJAPATI 55 JAMANABEN At.Sunok Ta.Unjha Female 40 60000 Rt.K.A.F.O 20/05/2018 3500 ---- 3500 --- 9624718380 RAMESHBHAI

PRAJAPATI At.UNJHA B/C K.A.F.O - 56 KISHANBHAIHARESH Male 8 12000 20/05/2018 7000 ---- 7000 --- 9712567703 Dist.Mehsana 02 BHAI

SONI HARSH At.UNJHA 57 Male 8 45000 B/L A.F.O - 02 20/05/2018 4400 ---- 4400 --- 9913972793 DEEPAKKUMAR Dist.Mehsana

NAYAK At.UNJHA 58 RAJESHKUMAR Male 52 60000 Rt.BK P/S 20/05/2018 6200 ---- 6200 --- 9726495809 Dist.Mehsana BHOGILAL

PATEL SUCHIBEN At.UNJHA 59 Female 8 35000 B/C A.F.O - 02 20/05/2018 4400 ---- 4400 --- 9724678725 RAJESHBHAI Dist.Mehsana

NAI SOBHANABEN At.UNJHA 60 Female 44 35000 Rt.K.A.F.O 20/05/2018 3500 ---- 3500 --- 9537156100 VIPULBHAI Dist.Mehsana ZALA GITABEN At.Brahmanvada Rt.K.A.F.O 61 Female 36 60000 20/05/2018 4500 ---- 4500 --- 8758509812 JAVANJI Ta.Unjha Shoe Assistance under the Central Scheme of Assistance to Disabled Persons for purchase/fitting of aids/appliances (ADIP Scheme) Funded By :- MINISTRY OF SOCAL JUSTICE & EMPOWERMENT, GOVERNMENT OF INDIA Implemeted by :- Shri Brahma Samaj Seva Trust - Patan Palce :- APMC Hall, Unjha, Dist :- Mahesana Date :- 20/05/2018

Total Traval Cost of cost Boarding Aid Whether whether Income Type of aid paid to and No. of days Mobile No and Sr Address of Male/ Age Date on which Include Subsidy any Surgical Total of + 11 accopan Adharca Photo of Name of Beneficiary per which outstio lodging for which land Line with STD No Beneficiary Famale years given Fabricat provided correction 12+13 ied by rd No. Benifisharies Annual (given) n expenes Stayed Code ion undertaken escort benefic pade Fitment iary Charges

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

Parmar Kirtibhai 1 Unjha Male 48 72000 Stick 20/05/2018 280 ---- 280 -- 8140055058 Kantibhai

Patel Nishit 2 Unjha Male 20 75000 Stick 20/05/2018 280 ---- 280 -- 9726999850 Dasrathbhai

Chavda Kirtikumar Sobhasan,Ta- 3 Male 51 48000 Stick 20/05/2018 280 ---- 280 -- 9638593138 ambalal Mahesana

Modi Vikrambhai Kholvada,Ta- 4 Male 43 84000 Stick 20/05/2018 280 ---- 280 -- 9727245278 Ambalal

Darji Jagdishbhai 5 Unjha Male 58 60000 Stick 20/05/2018 280 ---- 280 -- 9724400831 Narottambhai Patel Dahiben Kansha,Ta- 6 Famale 58 72000 Stick 20/05/2018 280 ---- 280 -- 8128154215 Navinchandra Visanagar

Rajgor Vasantbhai Vithoda,Ta- 7 Male 55 90000 Stick 20/05/2018 280 ---- 280 -- 9879382837 Jaysankarbhai Kheralu

Vithoda,Ta- 8 Rana Vagaji Nathuji Male 55 45000 Stick 20/05/2018 280 ---- 280 -- 9974700218 Kheralu

Saiyad Mumtajmiya Bhankhar,Ta- 9 Male 54 48000 Stick 20/05/2018 280 ---- 280 -- Saloomiya Unjha

Darji Rameshbhai 10 Unjha Male 49 36000 Stick 20/05/2018 280 ---- 280 -- 7621929135 Jethabhai

Bharathri Visnubhai 11 Vavdi,Ta-Kheralu Male 45 36000 Stick 20/05/2018 280 ---- 280 -- 7698138253 Chandubhai

Patel Kamleshkumar Hasanpur,Ta- 12 Male 38 76000 Stick 20/05/2018 280 ---- 280 -- 9586826345 Ambalal Visnagar

Patel Kirtibhai Motidau,Ta- 13 Male 38 100000 Stick 20/05/2018 280 ---- 280 -- 8320216940 Natvarlal Mahesana Modi 14 Rameshchandra Visnagar Male 62 72000 Stick 20/05/2018 280 ---- 280 -- 9586928468 Babaldas

Thakor Kantiji 15 Umta,Ta-Visnagar Male 70 30000 Stick 20/05/2018 280 ---- 280 -- 7041205152 Hamirji

Patel Chandrikaben 16 Unjha Famale 56 59000 Stick 20/05/2018 280 - - - 0 280 -- 9898030294 Govindbhai Assistance under the Central Scheme of Assistance to Disabled Persons for purchase/fitting of aids/appliances (ADIP Scheme) Funded By :- MINISTRY OF SOCAL JUSTICE & EMPOWERMENT, GOVERNMENT OF INDIA Implemeted by :- Shri Brahma Samaj Seva Trust - Patan Palce :- APMC Hall, Unjha, Dist :- Mahesana Date :- 20/05/2018

Total Traval Cost of cost Boarding Aid Whether whether Income Type of aid paid to and No. of days Mobile No and Sr Address of Male/ Age Date on which Include Subsidy any Surgical Total of + 11 accopan Adharca Photo of Name of Beneficiary per which outstio lodging for which land Line with STD No Beneficiary Famale years given Fabricat provided correction 12+13 ied by rd No. Benifisharies Annual (given) n expenes Stayed Code ion undertaken escort benefic pade Fitment iary Charges

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

Patel Arvindbhai Ganeshpura,Ta- 1 Male 48 45000 Tricycle 20/05/2018 6000 ---- 6000 -- 9824239785 Jethabhai Unjha

Panchal Nitinkumar 2 Unjha Male 30 45000 Tricycle 20/05/2018 6000 ---- 6000 -- 9725663125 Ramchandbhai

Patel Bharatbhai 3 unjha Male 53 50000 Tricycle 20/05/2018 6000 ---- 6000 -- 9574741225 Kantibhai

Thakor Gunvantji 4 Jaspur, Ta-Satlasna Male 45 9000 Tricycle 20/05/2018 6000 ---- 6000 -- 9724962430 Padhaji Thakor Sureshji 5 Tarabh,Ta-Unjha Male 37 35000 Tricycle 20/05/2018 6000 ---- 6000 -- 9726472806 Chaturji

Bava Nikitaben 6 Lioda,Ta-Unjha Male 25 45000 Tricycle 20/05/2018 6000 ---- 6000 -- 7383934544 Kanubhai

Thakor Sanjayji 7 Surpura,Ta-Unjha Male 39 45000 Tricycle 20/05/2018 6000 ---- 6000 -- 9712561677 Dhanaji

Patel Bharatkumar Ranchhodpura,Ta- 8 Male 44 40000 Tricycle 20/05/2018 6000 ---- 6000 -- 9924736327 Parbhuram Unjha

Suthar Haribhai 9 Visanagar Male 65 40000 Tricycle 20/05/2018 6000 ---- 6000 -- 9624190631 Chumanbhai

Vagari Dipakkumar 10 Sunok,Ta-Unjha Male 25 27000 Tricycle 20/05/2018 6000 ---- 6000 -- 7359674932 Chandubhai

Solanki Kansha,Ta- 11 Hargovanbhai Male 60 20000 Tricycle 20/05/2018 6000 ---- 6000 -- 9727830811 Visanagar savabhai Modi Jyotiben Kholvada,Ta- 12 Famale 48 25000 Tricycle 20/05/2018 6000 ---- 6000 -- 9727245278 Vikrambhai Siddhpur

Parmar 13 Rasmitaben Aaithor,Ta-Unjha Famale 31 30000 Tricycle 20/05/2018 6000 ---- 6000 -- 9662554839 Jethabhai

Thakor Saileshbhai 14 Tundav,Ta-Unjha Male 22 28000 Tricycle 20/05/2018 6000 ---- 6000 -- 9726671782 Nagjibhai

Goswami Jayntigiri Kholvada,Ta- 15 Male 60 30000 Tricycle 20/05/2018 6000 ---- 6000 -- 9974686946 Kesavgiri Siddhpur

Raval Vijapurda,Ta- 16 Mahendrabhai Male 29 13000 Tricycle 20/05/2018 6000 ---- 6000 -- 9726090984 Becharaji Amratbhai

Patel Manjulaben 17 Unjha Famale 56 12000 Tricycle 20/05/2018 6000 ---- 6000 -- 9173140875 Mohanbhai

Raval Sonalben 18 Unjha Famale 36 22000 Tricycle 20/05/2018 6000 ---- 6000 -- 8141635926 Bharatbhai Sindhi Rafikmiya 19 Dabhi,Ta-Unjha Male 37 28000 Tricycle 20/05/2018 6000 ---- 6000 -- 8980592826 Ikbalbhai

Vagri Rajubhai 20 Kheralu Male 30 20000 Tricycle 20/05/2018 6000 ---- 6000 -- 9727289139 Laxmanbhai

Chaudhari Kansha,Ta- 21 Manshibhai Male 36 26000 Tricycle 20/05/2018 6000 ---- 6000 -- 9825842013 Visanagar Chelabhai

Raval Babubhai 22 Unjha Male 52 25000 Tricycle 20/05/2018 6000 ---- 6000 -- 9824324337 sedhabhai

Chamar Karbatiya,Ta- 23 Rakeshbhai Male 28 40000 Tricycle 20/05/2018 6000 ---- 6000 -- 9624982260 Vadnagar Kantibhai

Patel Jasvantbhai 24 Umta,Ta-Visnagar Male 45 25000 Tricycle 20/05/2018 6000 ---- 6000 -- 9662015441 Manilal

Thakor Kanubhai 25 Vanagala,Ta-Unjha Male 38 38000 Tricycle 20/05/2018 6000 ---- 6000 -- 9662699661 Khengarbhai Patel Kamleshbhai Ganeshpura,Ta- 26 Male 41 24000 Tricycle 20/05/2018 6000 ---- 6000 -- 9925562905 Veljidas Visnagar

Sathvara Ganeshpura,Ta- 27 Kamleshkumar Male 27 25000 Tricycle 20/05/2018 6000 ---- 6000 -- 9978717805 Visnagar Ambalal

Thakor Krisnaben Lilapur,Ta- 28 Famale 35 21000 Tricycle 20/05/2018 6000 ---- 6000 -- 8347584575 Khodaji Visnagar

Thakor Gandaji 29 Aaithor,Ta-Unjha Male 32 Tricycle 20/05/2018 6000 ---- 6000 -- 7874848937 Chenaji

Garashiya Gopalji 30 Virsoda,Ta-Jotana Male 46 20000 Tricycle 20/05/2018 6000 ---- 6000 -- 9978895667 Bharatji

Bhangi Vinodbhai 31 Balad,Ta-Kheralu Male 25 10000 Tricycle 20/05/2018 6000 ---- 6000 -- 7043435542 Muljibhai

Patel Hasmukhkumar Hebuva,Ta- 32 Male 45 40000 Tricycle 20/05/2018 6000 ---- 6000 -- 9913410569 Kantilal Mahesana Parmar Laxmiben 33 Vadnagar Famale 37 40000 Tricycle 20/05/2018 6000 ---- 6000 -- 8733930331 Chimanbhai

Parmar Nareshbhai 34 Aaithor,Ta-Unjha Male 31 Tricycle 20/05/2018 6000 ---- 6000 -- 9723675821 Karsanbhai

Rajput Mheshbhai 35 Unjha Male 31 40000 Tricycle 20/05/2018 6000 ---- 6000 -- 9898870430 Valabhai

Shekh Imtiyajbhai Chandpura,Ta- 36 Male 78 27000 Tricycle 20/05/2018 6000 ---- 6000 -- 9978208526 Aslambhai Vadnagar

Suthar Natvarbhai Vithoda,Ta- 37 Male 48 12000 Tricycle 20/05/2018 6000 ---- 6000 -- 9714783117 Joitarambhai Kheralu

Vagari Sanjaykumar 38 Leoda,Ta-Unjha Male 25 20000 Tricycle 20/05/2018 6000 ---- 6000 -- 6359535234 Babubhai

Thakor Chetanji Vadbar,Ta- 39 Male 26 40000 Tricycle 20/05/2018 6000 ---- 6000 -- 9574341287 Bhuptaji Vadnagar Raval Champaben Motap,Ta- 40 Famale 47 47000 Tricycle 20/05/2018 6000 ---- 6000 -- 9662432603 Sankarbhai Mahesana

Raval Popatbhai 41 Karli,Ta-Unjha Male 35 29000 Tricycle 20/05/2018 6000 ---- 6000 -- 9714786650 Somabhai

Mulsan,Ta- 42 Chavda Iswarji Dipuji Male 49 20000 Tricycle 20/05/2018 6000 ---- 6000 -- 8347604327 Mahesana

Patel Govindbhai Bhasariya,Ta- 43 Male 40 22000 Tricycle 20/05/2018 6000 ---- 6000 -- 9904058214 Gopalbhai Mahesana

Rathod Harsadbhai 44 Unjha Male 40 15000 Tricycle 20/05/2018 6000 ---- 6000 -- 9979003234 Amaratlal

Raval Kantibhai Shipor,Ta- 45 Male 54 27000 Tricycle 20/05/2018 6000 ---- 6000 -- 9574875972 Ambalal Vadnagar

Patel Ashaben Maktupur,Ta- 46 Famale 43 40000 Tricycle 20/05/2018 6000 ---- 6000 -- 7698534304 Dahyabhai Unjha Ravai Laxmanbhai 47 Umta,Ta-Visnagar Male 53 25000 Tricycle 20/05/2018 6000 ---- 6000 -- 9904319286 Somabhai

Thakor Govindji Techava,Ta- 48 Male 33 43000 Tricycle 20/05/2018 6000 ---- 6000 -- 7698004312 Pratapji Vijapur

Raval Jigarbhai Mahervada,Ta- 49 Male 22 35000 Tricycle 20/05/2018 6000 ---- 6000 -- 9537695769 Govindbhai Unjha

Thakor Saileshji 50 Karli,Ta-Unjha Male 22 Tricycle 20/05/2018 6000 ---- 6000 -- 9662584274 Nagarji

Thakor Jayntiji 51 Unjha Male 39 55000 Tricycle 20/05/2018 6000 ---- 6000 -- 7041914877 Karsanji

Vihol Balvantshih 52 Pilvai,Ta-Vijapur Male 50 35000 Tricycle 20/05/2018 6000 ---- 6000 -- 6353524654 Manaji

Bramhksatriya Nikhil 53 Unjha Male 16 Tricycle 20/05/2018 6000 ---- 6000 -- 9427373558 Hasmukhbhai Rajput 54 Maheshkumar Siddhpur Male 43 10000 Tricycle 20/05/2018 6000 ---- 6000 -- 9909552850 Arvindbhai

Chauradhari 55 Jagdishbhai Aithor,Ta-Unjha Male 35 30000 Tricycle 20/05/2018 6000 ---- 6000 -- 9737203971 Madhabhai

56 Thakor Jasuji Shivaji Boru, At-Mansa Male 35 22000 Tricycle 20/05/2018 6000 ---- 6000 -- 9157378621

Parmar Pravinkumar 57 Vadnagar Male 40 40000 Tricycle 20/05/2018 6000 ---- 6000 -- 9925480720 Punjiram

Thakor Sureshkumar Chadisana,Ta- 58 Male 30 40000 Tricycle 20/05/2018 6000 ---- 6000 -- 9574903472 Kalaji Kalol

Thakor Ramanji Mahervada,Ta- 59 Male 40 35000 Tricycle 20/05/2018 6000 ---- 6000 -- 9974911227 Sadarji Unjha

Gamar Taraben 60 Sanali,Ta-Danta Famale 18 10000 Tricycle 20/05/2018 6000 ---- 6000 -- 8980666184 Badhabhai Thakor Nathuji 61 Siddhpur Male 31 72000 Tricycle 20/05/2018 6000 ---- 6000 -- 8469393585 Manaji

Vaghari Bhikhabhai 62 Soja,Ta-Kalol Male 45 11000 Tricycle 20/05/2018 6000 ---- 6000 -- 9714917900 Panabhai

Senma Chetankumar Palvasna,Ta- 63 Male 25 12000 Tricycle 20/05/2018 6000 ---- 6000 -- 9104092647 Ganeshbhai Mahesana

Pathan Talibmahmad 64 Dasaj,Ta-Unjha Male 41 Tricycle 20/05/2018 6000 ---- 6000 -- 9974656093 Anvarkhan

Thakor Bhikhaji 65 Sunok,Ta-Unjha Male 34 Tricycle 20/05/2018 6000 ---- 6000 -- 9574972181 Gokalji

Chudhari Pruthviraj 66 Male 40 Tricycle 20/05/2018 6000 ---- 6000 -- 6353574498 Revabhai Nagji Seri, At Dhinoj, Ta Chansma Assistance under the Central Scheme of Assistance to Disabled Persons for purchase/fitting of aids/appliances (ADIP Scheme) Funded By :- MINISTRY OF SOCAL JUSTICE & EMPOWERMENT, GOVERNMENT OF INDIA Implemeted by :- Shri Brahma Samaj Seva Trust - Patan Palce :- APMC Hall, Unjha, Dist :- Mahesana Date :- 20/05/2018

Total Traval Cost of cost Boarding Aid Whether whether Income Type of aid paid to and No. of days Mobile No Sr Address of Male/ Age Date on which Include Subsidy any Surgical Total of + 11 accopan Adharca Photo of Name of Beneficiary per which outstio lodging for which and land Line No Beneficiary Famale years given Fabricat provided correction 12+13 ied by rd No. Benifisharies Annual (given) n expenes Stayed with STD Code ion undertaken escort benefic pade Fitment iary Charges

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

Patel Geetaben 1 Unjha Famale 53 45000 Wolker 20/05/2018 420 ---- 420 -- 9825067125 Muljibhai

Shrimali Bhartiben 2 Unjha Famale 42 27000 Wolker 20/05/2018 420 ---- 420 -- 9793706645 Govindbhai

Patel Shan Gangapura,Ta- 3 Male 11 70000 Wolker 20/05/2018 420 ---- 420 -- 9726670274 Kalpeshbhai Unjha

Patel Tarunbhai 4 Tundav,Ta-Unjha Male 19 40000 Wolker 20/05/2018 420 ---- 420 -- 9979316845 Rameshbhai Barot Mayurkumar 5 Vadnagar Male 38 36000 Wolker 20/05/2018 420 ---- 420 -- 8758600251 Ashokbhai

Patel Maheshbhai 6 Vadnagar Male 54 48000 Wolker 20/05/2018 420 ---- 420 -- 8758600251 Hirabhai

Patel Harsadbhai 7 Sunok,Ta-Unjha Male 38 48000 Wolker 20/05/2018 420 ---- 420 -- 7016305208 Amrutlal

Patel Falguniben 8 Karli,Ta-Unjha Famale 17 25000 Wolker 20/05/2018 420 ---- 420 -- 8155827553 Mahendrakumar

Dasana Maheshbhai Folding 9 Unjha Male 11 40000 20/05/2018 420 ---- 420 -- 9909747476 Roopshih Woker Assistance under the Central Scheme of Assistance to Disabled Persons for purchase/fitting of aids/appliances (ADIP Scheme) Funded By :- MINISTRY OF SOCAL JUSTICE & EMPOWERMENT, GOVERNMENT OF INDIA Implemeted by :- Shri Brahma Samaj Seva Trust - Patan Palce :- APMC Hall, Unjha, Dist :- Mahesana Date :- 20/05/2018

Total Traval Cost of cost Boarding Aid Whether whether Income Type of aid paid to and No. of days Mobile No and Sr Address of Male/ Age Date on which Include Subsidy any Surgical Total of + 11 accopan Adharca Photo of Name of Beneficiary per which outstio lodging for which land Line with No Beneficiary Famale years given Fabricat provided correction 12+13 ied by rd No. Benifisharies Annual (given) n expenes Stayed STD Code ion undertaken escort benefic pade Fitment iary Charges

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

Shekh Aarif Bhankhar, Ta- 1 Male 22 36000 Wheel Chair 20/05/2018 4300 ---- 4300 -- 9974233989 Aslambhai Unjha

Shekh sohil Bhankhar,Ta- 2 Male 18 45000 Wheel Chair 20/05/2018 4300 ---- 4300 -- 7359973867 Mohmadbhai Unjha

Patel Miliben 3 Unjha Famale 21 60000 Wheel Chair 20/05/2018 4300 ---- 4300 -- 9712891133 Chetakumar

Jala Hiraben Brahmanvada,Ta- 4 Famale 72 35000 Wheel Chair 20/05/2018 4300 ---- 4300 -- 9909745587 Kadvaji Unjha Sinhi Rohit 5 Unjha Male 18 35000 Wheel Chair 20/05/2018 4300 ---- 4300 -- 7802084183 Lalchandbhai

Patel Rasmikaben 6 Unjha Famale 33 24000 Wheel Chair 20/05/2018 4300 ---- 4300 -- 9427683871 Laxmanbhai

Patel Firoja 7 Molipur,Ta- Famale 30 20000 Wheel Chair 20/05/2018 4300 ---- 4300 -- 7487051739 Rasulmiya

Patel Bharatbhai 8 Karli,Ta-Unjha Male 40 30000 Wheel Chair 20/05/2018 4300 ---- 4300 -- 8140056892 Chelabhai

Parmar Ashaben 9 Vadnagar Famale 35 40000 Wheel Chair 20/05/2018 4300 ---- 4300 -- 8733930331 Narayanbhai

Patel Ashaben Rampura,Ta- 10 Famale 31 60000 Wheel Chair 20/05/2018 4300 ---- 4300 -- 8511159064 Varvbhai Vijapur

Gosai Mahendrapuri Ganpatipura,Ta- 11 Male 35 50000 Wheel Chair 20/05/2018 4300 ---- 4300 -- 8511159064 Kailashpuri Dholka Thakor Bhagvatiben Ranchhodpura,Ta- 12 Famale 36 27000 Wheel Chair 20/05/2018 4300 ---- 4300 -- 8511159064 Chenaji Unjha

Modi Bharatkumar 13 Visnagar Male 40 25000 Wheel Chair 20/05/2018 4300 ---- 4300 -- 9879018653 Dasrathbhai

Raval Visnubhai Kharavda,Ta- 14 Male 32 40000 Wheel Chair 20/05/2018 4300 ---- 4300 -- 8511159064 Sankarbhai Visnagar

Thakor Ashaben 15 Sundhiya,Ta-Unjha Famale 30 50000 Wheel Chair 20/05/2018 4300 ---- 4300 -- 7016502769 Gagaji

Sayad Aslamali 16 Unava,Ta-Unjha Male 24 60000 Wheel Chair 20/05/2018 4300 ---- 4300 -- Shahbudin

Vagela Khumanshih Bhindarda,Ta- 17 Male 34 40000 Wheel Chair 20/05/2018 4300 ---- 4300 -- 9714917900 Siddhrajshih Gandhinagar

Parmar Gautambhai 18 Abja,Ta-Kalol Male 35 42000 Wheel Chair 20/05/2018 4300 ---- 4300 -- 7698168096 Chhanabhai Vaghela Pashiben Brahmanvada,Ta- 19 Famale 55 7000 Wheel Chair 20/05/2018 4300 ---- 4300 -- 9979992868 Karsanbhi Unjha

Palvasna,Ta- 20 Thakor Babaji Manaji Male 37 12000 Wheel Chair 20/05/2018 4300 ---- 4300 -- 9925746190 Mahesana

Solanki Hiteshbhai 21 Dabhi,Ta-Unjha Male 19 30000 Wheel Chair 20/05/2018 4300 -- -- 4300 -- 9714274711 Jayntibhai

Goswami Puriben Pathariya,Ta- 22 Famale 40 75000 Wheel Chair 20/05/2018 4300 -- -- 4300 -- 9662281027 Kalugiri Mahesana

Vaghari Shantaben 23 Ukkal,Ta-Vijapur Famale 45 40000 Wheel Chair 20/05/2018 4300 -- -- 4300 -- 8467605584 Mangabhai

Vaghari Mangabhai 24 Ukkal,Ta-Vijapur Male 45 40000 Wheel Chair 20/05/2018 4300 -- -- 4300 -- 8467605584 Keshabhai

Shrimali Bhartiben 25 Unjha Famale 45 63000 Wheel Chair 20/05/2018 4300 -- -- 4300 -- 9638519976 Ramjibhai Chamar Minaxiben 26 Bhunav, Ta-Unjha Famale 32 29000 Wheel Chair 20/05/2018 4300 -- -- 4300 -- 9909632093 Kantibhai

Patel Jimiben 27 Unjha Famale 20 90000 Wheel Chair 20/05/2018 4300 -- -- 4300 -- 9824047122 Hasmukhbhai

Patel Visvaben 28 Unjha Famale 16 70000 Wheel Chair 20/05/2018 4300 -- -- 4300 -- 9824047122 Girishbhai

Patel Joy Pd. Wheel 29 Unjha Male 6 40000 20/05/2018 4300 -- -- 4300 -- 9825045430 Jasvantbhai Chair

Pd. Wheel 30 Patel Drij Punitkumar Unjha Male 4 70000 20/05/2018 4300 -- -- 4300 -- 9824926256 Chair

Thakor Jaydipbhai Bokarvada,Ta- 31 Male 10 17000 C.P.Chair 20/05/2018 4300 ---- 4300 -- - Babuji Visnagar