APPLICATION FOR ASSISTIVE DEVICE / SELF EMPLOYMENT KIT

1. Eligibility and Guardianship Acknowledgement

By clicking the "I AGREE" button below, I acknowledge and declare that:

1. I am 18+ years of age and of sound mind to enter into this agreement; OR

2. I am The Lawful Guardian/Parent of the applicant (who is a minor or a person with a disability requiring a guardian), acting with full legal authority.

2. Terms of Agreement

I (the Beneficiary or the Lawful Guardian acting on their behalf) hereby consent to receive an Assistive Device, Self-Employment Kit, or Prosthetics (hereinafter referred to as the "Product") at a subsidized rate or free of charge, as determined by Voice of Specially Abled People (VOSAP) (hereinafter referred to as the "Data Fiduciary").

In accepting this support, I agree to the following terms and conditions, which constitute a binding agreement and a valid consent under the Digital Personal Data Protection Act, 2023 ("DPDP Act"):

A. Data Protection and Privacy Consent (Notice & Consent)

1. Notice of Data Collection: I acknowledge that VOSAP has informed me that the following personal data will be collected:

   • Personal Identifiers: Name, Address, Phone Number, Email, Photograph.
   • Government ID: Unique Disability ID (UDID) card details.
   • Health Data: Nature and percentage of disability, medical history relevant to the Product.
   • Financial/Socio-Economic Data: Income details (for subsidy eligibility).
   • Biometric Data: Measurements required for prosthetics/calipers (if applicable).

2. Purpose of Processing: I explicitly consent to VOSAP processing the above data for the following specific purposes:

   • Verifying eligibility and identity.
   • Customizing, manufacturing, and delivering the Product.
   • Record-keeping for audit, compliance, and donor reporting purposes.
   • Conducting impact assessments and follow-up monitoring.

3. Media and Communication Consent: I grant VOSAP permission to capture, store, and publish photographs, videos, and audio recordings of me/the beneficiary. I understand these materials may include testimonials, footage from distribution events, or press release content, and may be used for:

   • Documentation and internal reporting.
   • Public communication, social media, website content, and donor presentations to support the broader community of persons with disabilities.
   • I waive any right to royalties or other compensation arising or related to the use of my image or recording.

4. Data Retention and Audit Compliance: I understand that my personal data will be retained for as long as necessary to fulfill the purposes outlined above. Notwithstanding any withdrawal of consent, I acknowledge that VOSAP retains the right to store specific data (including Name, Address, UDID, and Asset details) strictly for Audit, Legal, and Warranty purposes to demonstrate proof of asset distribution and compliance with donor mandates and applicable laws.

5. Rights of the Data Principal: I am aware that under the DPDP Act, I have the right to:

   • Access a summary of my personal data processed by VOSAP.
   • Request correction, completion, or updating of my personal data.
   • Withdraw my consent at any time. However, I understand that withdrawal of consent applies only to optional processing (such as future marketing or media use) and does not require VOSAP to delete records required for legal compliance, audit trails, or warranty obligations as defined in Clause A.4.
   • Nominate an individual to exercise my rights in the event of my death or incapacity.

6. Grievance Redressal: In case of any grievance regarding the processing of my data, I understand I can contact the VOSAP Grievance Officer at:

   • Name: Ashish Deliwala
   • Email: Grievance@voiceofsap.org

7. Security and Verification: I acknowledge that VOSAP may request One-Time Password (OTP) or Email verification to confirm my identity. I agree that maintaining the confidentiality of such verification details is my sole responsibility. I acknowledge that VOSAP shall not be liable for any loss or misuse arising if I share these details with third parties, including vendors, NGOs, or unauthorized individuals.

B. Product Usage and Obligations

1. Intended Purpose: I understand that this assistance is provided exclusively to enhance my mobility, livelihood, education, or general abilities. This support is not intended for resale, rental, or any form of commercial exploitation or misuse.

2. Authorized Usage: I commit to using the provided Product solely for my personal benefit (or the benefit of the minor/ward) and for the specific purposes described in my application.

3. Prohibition of Transfer: I agree not to sell, rent, mortgage, pledge, transfer, or relinquish the Product to any other person or entity. I acknowledge that VOSAP reserves the right to reclaim the Product immediately in the event of a violation of this clause, and I accept full responsibility for any legal consequences.

4. Policy on Unused Products:

   • If the Product remains unused for a period of three (3) months, VOSAP reserves the right to issue a formal notice to me.
   • If the Product remains unused for one (1) month following the date of such notice, VOSAP is authorized to reclaim and reassign the Product (excluding partially subsidized products where ownership has transferred upon payment) or discontinue access to any associated software licenses.

5. Follow-up Engagement: I agree to cooperate with VOSAP’s impact assessment team. I will share progress updates, photographs, and videos as requested via WhatsApp, telephone, or email and will facilitate follow-up communication with VOSAP representatives to verify the functional status of the Product.

6. Indemnity: I hereby release and indemnify VOSAP, its donors, and volunteers from any liability regarding any injury, loss, or damage arising out of the use or misuse of the Product.

3. Formal Declaration and Acceptance

By clicking the "I AGREE" button, I solemnly declare and confirm that:

1. The information provided by me in the application is true, complete, and correct to the best of my knowledge;

2. I have read (or have had read to me in a language I understand) and fully understood the terms outlined above; and

3. I voluntarily agree to abide by these terms and grant my free, specific, informed, unconditional, and unambiguous consent.