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PWD Registration
PWD Registration for Individuals
PWD Registration for Care Givers
PWD Registration for Organizations
PWD Login
Contact Us
PWD Registration for Individuals
Region of Registration
Eastern Region
District of Registration
Suhum Municipal Assembly
Year of Registration
First Name
Middle Name
Last Name / Surname
Username
Password
Confirm Password
Sex
Male
Female
Age
Birthday
Mobile Number
Ghana Card
Voters Card Number
Occupation
Community
Abenabo No.1
Abenabo No.2
Aboabo
Abrodiamu
Abrodiamu
Adarkwa
Adentam
Adidiso
Adogogye
Afransidedewa
Ahenbromu
Ajate
Akorabo
Akote
Ali
Amanshia
Amede
Amoakrom
Ampedwa
Anomankwanta
Apete
Aponapona
Asiedu
Asikafo Amantem
Ateebu
Autie Mary
Ayebromu
Ayekotse
Ayisaa
Ayisikrom
Bana
Betiase
Bosompa
Brabiom
Brong Densuso
Cocoano
Dabge
Dademantse
Dawa
Dedewa No.1
Densuso
Doctor Mable
Fieso
Fitanyano
Gariba Zongo
Gboayetse
Gorjiase
Jato
Kofi Anim
Kofiboafo
Kofigya
Kofikini
Kokobibiem
Kokotiesua
Koponya
Koransang Bana
Koransang Kese
Koransang Ketewa
Kradaso
Krobom
Kromameng
Kudovo
Kudovo
Kukua
Kwabena-Kumi
Kwahyia
Kwampo
Kwanatey
Lenya
Mamedonya
Mamehyieso
Mangoa
Mempaaba
Metemano
My Name
Nankese
Nartey Osei
New Life
Nkantinkwan
Nsuta-Wawase
Ntabea
Ntabea
Ntunkum
Numess
Obeng-Down
Obomofodensua
Obretema
Obuodakaa
Obuotunpan
Odokote
Ojobi
Okanta
Okonam
Okorase
Omenako
Otwe
Pobi
Praprabebida
Sakunya
Samatare
Samatare
Sanse
Santramo
Santramor
Sawa
Sra
Suhum 44
Sumie
Supresu
Tei Mensah
Tenya
Teteh Nkwanta
Tetekasom
Tome
Triao
Trotor
Vokorno
Volta House
Webeku
Whyese
Yaw Badu
Yaw Badu Junction
Yaw Boadi
Zorh
House Number
Digital Address
Type of Residence
Renting
Rent-free
Perching
Squatting
House Care-taker
Type of Disability
Persons with physical disabilities
Deaf persons
Person who are non-verbal
Persons with communication disabilities including speech and language disabilities
Persons who are hard of hearing
Persons with visual disabilities
Persons with multiple disabilities such as deafblind
Persons with psychological disabilities
Persons with cerebral palsy
Persons with bipolar conditions
Persons with attention deficit disorders
Persons with schizophrenia
Persons with developmental and neurological disabilities
Persons with autism
Persons with Down Syndrome
Persons with Turner Syndrome
Persons with spinal injury
Persons with autoimmune conditions
Persons with osteogenesis imperfecta
Persons with albinism
Persons with intellectual disabilities
Persons with epilepsy
Persons with leprosy
Little persons
Persons with hunchback
Burns survivors
Other disabilities ( click here to type disability if not found in the above list)
Other Disability
Profile Picture (upload your full-size photo showing your disability)
Click Here to Upload Your Full-Size Picture
Profile Picture (upload your full-size photo showing your disability)
Click Here to Upload Your Full-Size Picture
Are you are member of an Organization for Persons with Disabilities (OPD)
Yes
No
OPD Organization
Past Fund Beneficiary
Yes
No
Past Fund Beneficiary Date
What Support did you receive in the past?
Income Generation
Education
Health
Past Fund Beneficiary Type Specifics
Do you wish to apply for support from the District Assembly Common Fund ( DACF) ?
Yes
No
Choose the purpose for applying for the fund
Income Generation
Education
Health
What type of economic activity or business do you need the fund for?
Choose the type of Income Generation Support you need
Capital
Start-up Tool
What start-up tool do you need?
Please choose the educational level
Basic
Secondary
Tertiary
Apprenticeship
Educational Institution
Which programme or Course or qualification are you pursing at the tertiary institution?
Choose the type of Apprenticeship
Vocational
Technical
Type of Apprenticeship Specifics
What educational support do you need?
School fees
Bursary
Technical aid
What type of Health Support do you need?
Surgery
Therapy
Medication
Assistive device
What is the type of surgery?
What is the type of Therapy?
What is the type of Medication?
What Assistive devices do you need?
Laptop
Wheelchair
Hearing Aid
White Cain
Dictator
Braille Notes-taker
Recorder
Accessible mobile phone
What is the total amount of money required for the the purpose you applied for the fund ?
Please attach supporting documents ( school fees bills, medical bills, etc. )
Click here to upload your supporting documents
Please attach supporting documents ( school fees bills, medical bills, etc. )
Click here to upload your supporting documents
Signature ( I certify that all answers are true to the best of my knowledge )
Only fill in if you are not human
