Apply for Parking Coupon

Ministry of Social Integration,Social Security and National Solidarity (Disability Empowerment Unit)

Tel:2070625

Email: disability@govmu.org

 


* are mandatory fields and need to be filled
1.0 Please tell us about yourself
Surname: *
Name: *
Date of Birth: *
Gender*
NIC No. : *
Impairment*


2.0 Your Contact Details
Address:
Telephone
Residence:
Mobile: *
Email Address:
3.0 Purpose of Application

Parking Coupon


4.0 Declaration
 
* By submitting this application: I declare that the facts stated above are true and correct.