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 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.Mehsana 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