LIST OF BENEFICIARIES BELOW 6 YEARS: APRIL 1, 2012 - MARCH 31, 2013 FORM - I NAME OF THE SCHEME : Scheme to Promote Voluntary Action for Person with disabilities (i) Name of the Organisation : Indian Institute of Cerebral Palsy (ii) Name and Address of the Project : Pre School and Early Intervention and Training (Mentally Retarded and Cerebral Palsied Segment) P-35/1 Taratolla Road, Kolkata - 700 088 (iii) Year : 2013 - 14 COMMUNITY BASED SERVICES S.N Name F / M Name DOB Sex Type / % of Dis. Address DOA/C.Yrs UC FM M/P Income BPL REFD/ADV 1. Aasger Sk Sk. Anware Ali 11/04/2009 M hearing Impairment 28 Deshopran Sasmol Road 30/01/2012 0 4 1200 Yes 0 80 Kolkata 700033 0 300 Remark: Project: Sangam Project - Tomorrow's Foundation 2. Aftab Ekra Aftab Alam 31/10/2010 F lower limb deformity 3A/H/10/1 Gas Street 11/09/2012 0 5 3000 No 0 80 Kolkata 700009 0 600 Remark: Project: Sangam Project - Ramakrishna Mission 3. Alam Zuned Zaher Alam 09/03/2008 M CTEV J 491, Ajar Molla Bagan 09/10/2012 0 5 2000 No 0 40 Kolkata 700024 0 400 Remark: Project: Sangam Project - Tomorrow's Foundation 4. Banerjee Indra narayan Debnarayan Banerjee 06/09/2008 M speech problem 61 Subhas Nagar First Bye Lane 26/02/2013 0 3 20000 No 0 50 DumDum 0 6667 Kolkata 700065 Remark: Project: Sangam Project - Ramakrishna Mission Monday, May 20, 2013 Page 1 of 12 S.N Name F / M Name DOB Sex Type / % of Dis. Address DOA/C.Yrs UC FM M/P Income BPL REFD/ADV 5. Begum Muskan Amzad Ali 29/05/2008 F hearing impairment 16/H/1 Canel West Road 10/05/2012 0 9 3000 Yes 0 70 Kolkata 700009 0 333 Remark: Project: Sangam Project - Ramakrishna Mission 6. Das Jitendar Jitu Das 04/09/2009 M hearing impairment 160 Aurobinda Sarani 09/10/2012 0 6 2500 No 0 80 Kolkata 700006 0 417 Remark: Project: Sangam Project - Ramakrishna Mission 7. Das Roni Ronjit Das 05/04/2010 M hearing impairment 34, Bagmari Road 21/09/2012 0 6 1500 Yes 0 45 Kolkata 700054 0 250 Remark: Project: Sangam Project - Ramakrishna Mission 8. Das Sarbojoy shayamal Das 16/05/2012 M cerebral palsy 243/LC APC Road 12/10/2012 0 5 1500 Yes 0 40 Kolkata 700006 0 300 Remark: Project: Sangam Project - Ramakrishna Mission 9. Das Rohan Sankar Das 06/02/2009 M mental retardation 242/2 APC Road 20/04/2012 0 4 2000 No 0 50 Khanna 0 500 Kolkata 700004 Remark: Project: Sangam Project - Ramakrishna Mission 10. Das Kiran Bilendar Das 14/07/2010 F cerebral palsy 83/A Bagmari Road 20/03/2013 0 9 3000 Yes 0 60 Kolkata 700054 0 333 Remark: Project: Sangam Project - Ramakrishna Mission Monday, May 20, 2013 Page 2 of 12 S.N Name F / M Name DOB Sex Type / % of Dis. Address DOA/C.Yrs UC FM M/P Income BPL REFD/ADV 11. Das Risav kumar Birzu Das 27/05/2010 M club foot 15 Radhamadav Stret 18/05/2012 0 5 1500 Yes 0 50 Kolkata 700007 0 300 Remark: Project: Sangam Project - Ramakrishna Mission 12. Das Radhika Ashok Das 22/07/2009 F cerebral palsy 216 Baghmari Road 07/12/2012 0 4 1200 Yes 0 60 Kolkata 700054 0 300 Remark: Project: Sangam Project - Ramakrishna Mission 13. Dey Debjani Biswanath Dey 05/04/2007 F cerebral palsy 39/19 Ramdulal Sarkar Street 18/08/2011 0 5 1200 Yes 0 80 Kolkata 700006 1 240 Remark: Project: Sangam Project - Ramakrishna Mission 14. Disan Md Md. Sahid 23/03/2011 M delayed milestones 16 Canel West Road 10/05/2012 0 7 3000 No 0 50 Kolkata 700009 0 429 Remark: Project: Sangam Project - Ramakrishna Mission 15. Faizan momtaz Md Md. Mumtaz Ahamed 06/12/2009 M cerebral palsy G-264 Ramnagar Lane 08/01/2013 0 5 1500 Yes 0 60 Kolkata 700024 0 300 Remark: Project: Sangam Project - Tomorrow's Foundation 16. Faraz Faisal Md. Sahazada 17/02/2008 M hearing impairment 42/H/3 Lock Gate Road 30/05/2012 0 3 1000 Yes 0 70 Kolkata 700002 0 333 Remark: Project: Sangam Project - Tomorrow's Foundation Monday, May 20, 2013 Page 3 of 12 S.N Name F / M Name DOB Sex Type / % of Dis. Address DOA/C.Yrs UC FM M/P Income BPL REFD/ADV 17. Farhan Md Md. Firoz 11/07/2012 M club foot 17/H/Y/10 Canel West Road 26/06/2012 0 8 6400 No 0 50 Kolkata 700011 0 800 Remark: Project: Sangam Project - Tomorrow's Foundation 18. Farhan Md Md. Aktar 16/09/2012 M delayed milestones 5H/10 Bibi Bagan Lane 14/09/2012 0 11 3500 Yes 0 50 Kolkata 700015 0 318 Remark: Project: Sangam Project - Tomorrow's Foundation 19. Ghosh Manisha Paresh Ghosh 08/06/2007 F CTEV 93 Tollygunge Road 17/12/2012 0 5 1000 Yes 0 50 Kolkata 700033 0 200 Remark: Project: Sangam Project - Tomorrow's Foundation 20. Ghosh Roopsha Amit Ghosh 21/09/2010 F hearing impairment 15/1 Abhinash Ghosh Lane 20/03/2013 0 5 2500 No 0 90 Kolkata 700006 0 500 Remark: Project: Sangam Project - Ramakrishna Mission 21. Gupta Viki Vijoy Gupta 04/12/1999 M hearing impairment 243/A/H/44 APC Road 12/07/2012 0 6 2000 Yes 0 90 Kolkata 700006 0 333 Remark: Project: Sangam Project - Ramakrishna Mission 22. Halder Riya Basudev Halder 06/01/2010 F CTEV 4 Basanti Colony 08/02/2013 0 8 2000 Yes 0 100 Kolkata 700067 0 250 Remark: Project: Sangam Project - Ramakrishna Mission Monday, May 20, 2013 Page 4 of 12 S.N Name F / M Name DOB Sex Type / % of Dis. Address DOA/C.Yrs UC FM M/P Income BPL REFD/ADV 23. Halder Subhankar Uttam Halder 09/02/2008 M cerebral palsy Khalpool 12/03/2013 0 4 1200 Yes 0 90 Near Ice Khal 0 300 Kolkata 700004 Remark: Project: Sangam Project - Ramakrishna Mission 24. Halder Subho Basudev Halder 28/03/2008 M CTEV 4 Basanti Colony 08/02/2013 0 8 2000 Yes 0 100 Kolkata 700067 0 250 Remark: Project: Sangam Project - Ramakrishna Mission 25. Hamid Abdul Abdul Majid 05/04/2009 M cerebral palsy H50 Lala Abbus Lane 09/10/2012 0 7 2000 Yes 0 60 Ramnagar 0 286 Kolkata 700024 Remark: Project: Sangam Project - Tomorrow's Foundation 26. Hela Soniya Raju Hela 20/03/2008 F cerebral palsy 14C Deshopran Sasmol Road 30/04/2012 0 6 1500 Yes 0 70 Kolkata 700033 0 250 Remark: Project: Sangam Project - Tomorrow's Foundation 27. Khatoon Reshmina Asraf Molla 02/07/2008 F Down's syndrome Village Durgapur 11/11/2008 0 6 900 Yes 0 70 P.O. Noorpur 4 150 Dist. 24 Pgs (S) Remark: Project: Project - IFB 28. Khatoon Arshida SK. Anwaruddin 28/10/2009 F cerebral palsy Village Kalitala 06/03/2012 0 11 2500 Yes 0 60 P.O. Shyambasir Chalk 0 227 Dist. 24 Pgs (S) Remark: Project: Project - IFB Monday, May 20, 2013 Page 5 of 12 S.N Name F / M Name DOB Sex Type / % of Dis. Address DOA/C.Yrs UC FM M/P Income BPL REFD/ADV 29. Khatoon Ayesha Abdul Salam 04/06/2010 F cerebral palsy 42 Lock gate Road 06/02/2013 0 13 4000 Yes 0 80 Kolkata 700002 0 308 Remark: Project: Sangam Project - Tomorrow's Foundation 30. Khatoon Asipa Asdul Sk. 09/09/2009 F cerebral palsy Village Durgapur 05/04/2011 0 5 800 Yes 0 50 P.O. Noorpur 1 160 Dist. 24 Pgs (S) Remark: Project: Project - IFB 31. Khatoon Zoya Afroz Khan 01/05/2007 F Down syndrome A 30H, B.H. Road 09/10/2012 0 7 3000 No 0 80 Kolkata 700024 0 429 Remark: Project: Sangam Project - Tomorrow's Foundation 32. Khatoon Tabasum Akbar Ali 12/02/2009 F cerebral palsy 17 Gas Street 12/06/2012 0 6 2000 Yes 0 70 Kolkata 700009 0 333 Remark: Project: Sangam Project - Ramakrishna Mission 33. Khatoon Karina Md. Salauddin 27/02/2008 F cerebral palsy 438/2 Canalish Road 26/06/2012 0 6 3000 No 0 70 Kolkata 700011 0 500 Remark: Project: Sangam Project - Tomorrow's Foundation 34. Khatoon Muskan Sk. Moinuddin 26/02/2008 F arm deformity 28 Deshopran Sasmol Road 30/04/2012 0 8 2200 Yes 0 50 Kolkata 700033 0 275 Remark: Project: Sangam Project - Tomorrow's Foundation Monday, May 20, 2013 Page 6 of 12 S.N Name F / M Name DOB Sex Type / % of Dis. Address DOA/C.Yrs UC FM M/P Income BPL REFD/ADV 35. Khatoon Sabana Md. Ramjan 12/03/2008 F hearing impairment 16/H/1 Canel West Road 10/05/2012 0 6 2500 No 0 70 Kolkata 700009 0 417 Remark: Project: Sangam Project - Ramakrishna Mission 36. Koyal Manik Sukumar Koyal 25/12/2008 M cerebral palsy Village Parsimul 12/04/2011 0 4 600 Yes 0 70 P.O. Mukundapur 1 150 Dist. 24 Pgs(S) Remark: Project: Project - IFB 37. Koyal Sayani Tapan Koyal 10/07/2010 F cerebral palsy Village Sukdevpur 17/01/2012 0 6 2000 Yes 0 80 P.O. Noorpur 0 333 Dist. 24 Pgs (S) Remark: Project: Project - IFB 38. Kumar Satyam Rajesh Sharma 18/04/2007 M cerebral palsy Dhaba, Dhibi 23/02/2008 0 5 2000 No 0 70 Rajar Ghat, Natunpara 0 400 Kolkata 700105 Remark: Project: Sangam Project - CINI Asha 39.