PAKISTAN BAIT-UL-MAL Email:
info@pbm.gov.pk
Toll Free:
0800 666 66

 

Application Form for Customized Wheel Chair

Pilot Districts for Customized Wheel Chair
(Mirpur Khas, Sibi, Jhelum, Rahim Yar Khan, Tank, North Waziristan, Gilgit, Kotli and Islamabad)

  Name:
  Father's Name
  Disable Person Date of Birth
  Gender

  Disable Person CNIC/B-Form:
  Contact No.
  Province:
  District:
  Tehsil:
  Union Counicl:
  Town/Village:
  Street/Mohallah:
  House:
  Monthly Income:
  Disability Cause:
  Qualification:
  Job:

 

For further information and queries: ad.it@pbm.gov.pk