I confirm that the information provided in this registration form is true, complete, and accurate to the best of my knowledge. I understand that LCF Pakistan will review and verify the information provided. If any information is found to be false, incomplete, misleading, or inaccurate, my application may not be considered or may be declined. I understand that submission of this form does not guarantee eligibility, selection, or provision of an assistive device, and the final decision rests with LCF Pakistan based on its eligibility criteria, verification process, and available resources.

I confirm that all information provided is true and accurate. I understand that LCF Pakistan will review and verify my application. If any information is found to be false, incomplete, or inaccurate, my application may not be considered. Submission of this form does not guarantee selection or provision of an assistive device.