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Join the Services Bank

If you or your organization provide services for persons with intellectual challenges, we can add you to Swechha – our Services Bank, so PwC can find the services they need easily. To join Swechha, please fill out the form below. If you have any questions or would like a member of Team Amrit to contact you, please get in touch with us or call us at 011 26520998.

Empanelment Form for Sweccha


You are a:
OrganisationProfessionalParent Support GroupDisabled Persons Organisation

If other, please specify:

NAME of Professional/ Organisation/ Parent Support Group/ Disabled Persons Organisation:

CONTACT PERSON’S NAME if Organisation/ Parent Support Group/ Disabled Persons Organisation:

TYPE, if Organisation:
Government InstitutionPrivateNGOInternational

If other, please specify:

Specialization:

Clinical Psychology/PsychiatryPhysiotherapyCounsellingAccessibility Services
Speech TherapyAudiologistVocational InstructionAssistive Aids & Technologies
Occupational TherapySpecial EducationSocial WorkGeriatric Services


If other, please specify:

DISABILITIES WITH WHICH YOU WORK:

AutismIntellectual DisabilityMultiple Disabilities
Down SyndromeSpecific Learning Disabilities e.g., Dyslexia, Dyscalculia
Cerebral Palsy


If other, please specify:

Details for Primary location:

Address (Landmark):

Pincode (Required)

Mobile Number (Required):

Landline Number:

Email ID (Required):

Website (URL):

Working Days:

All days except SundayWednesdaySaturday
MondayThursdaySunday
TuesdayFriday


Timings:

Prior appointment required:YesNo

Referrals (if any):

Comments about your services (if any):