Sector P1, Phase 4, Hayatabad, Peshawar info@friendsofparaplegics.org

Application for Assistance

Name

F/H/W Name

Address

CNIC

Contact

Disability Type

Please tick (✓) and mention quantity / number / amount where applicable:

Wheelchair – Quantity:

Try cycle – Quantity:

Financial support – Amount (PKR):

Cash support – Amount (PKR):

Rashan (grocery) support – Months Required:

Sewing machine – Quantity:

Loan for small business/self-employment – Amount (PKR):

Others:

Friends of Paraplegics

Friends of Paraplegics (FOP) is a non-government, not for profit, and non political organization registered with Directorate of social welfare, Govt. of Khyber Pakhtunkhwa, under the (VSWA) ordinance XLVI of 1961 R.No-4127, striving for the rights, issues and well-being of People with Disabilities (PWD’s) in general and People with Spinal Cord Injuries in particular.

Address

Friends of Paraplegics, ,Street 10, Sector P1, Phase 4, Hayatabad, Peshawar, Pakistan

Tel: +92 (0)91-7512430

info@friendsofparaplegics.org

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