Children Book of Records

Applying for

Own Child

Refer A Child

Who Are You Applying As?

Child's Details

Child's Full Name

Date of Birth

Age

City / Town

District

State

Country

Autism / Support Information

Is the child diagnosed with Autism Spectrum Disorder (ASD)?

Yes

No

Under Professional Evaluation

Prefer Not to Disclose

Support Information

Please share any information that may help us understand the child's participation requirements.

School / Institute Details

Yes

No

Name of School / Autism Institute / Therapy Centre

Institute Address

Institute Contact Person

Contact Number

Email Address

Is the Institution Interested in Registering With UNIQUE?

Yes, Register Our Institution

No

Already Registered

What Would You Like to Apply For?

Select Application Type

Talent / Ability Details

Select the Talent or Ability Category

Name of the Talent / Achievement

Describe the Child's Talent or Achievement

How did you discover this talent

How long has the child been practising or demonstrating this ability?

Upload Child's Photographs

Child's Photograph

Additional Child Photographs

Examples:
• Child performing the talent
• Child participating in activities
• Child receiving previous recognition
• Child with parents or institution

Upload Talent / Performance Photographs

Talent Photographs

Upload photographs showing the child performing or demonstrating the talent.
Examples:
• Performing on stage
• Drawing or painting
• Playing an instrument
• Solving puzzles
• Demonstrating memory
• Participating in sports
• Any other unique ability

Upload Performance Videos

Main Performance Video

Additional Supporting Videos

Video Guidelines:
• The child's performance should be clearly visible.
• The video should preferably be unedited.
• The complete performance should be recorded.
• The video must clearly demonstrate the claimed talent or achievement.
• Multiple videos may be uploaded where required.

Suggested Formats: MP4 / MOV / AVI

Previous Recognition

Has the child received any previous award or record recognition?

Yes

No

Parent / Guardian / Referrer's Details

Name of Applicant / Referrer

Mobile Number

WhatsApp Number

Email Address

Address

If You Are Referring Someone Else

Yes, I have permission from the parent / guardian

I am the parent / guardian

I am referring this child with the knowledge of the institution

I am not currently in contact with the parent / guardian

Parent / Guardian Contact Details

Name

Mobile Number

Email Address

Important: Our team may contact the parent, guardian or institution to verify the nomination and obtain necessary consent before publishing photographs, videos or achievements.

Institution Registration

Are You Applying on Behalf of an Institution?

Yes

No

I confirm that the information provided is true and accurate.

I am authorised to submit this application or nomination.

I understand that the application may be reviewed for record or award recognition.

I provide permission for the submitted photographs and videos to be used for verification, recognition and promotional purposes, subject to applicable consent and privacy policies.

I understand that submission of an application does not automatically guarantee a record or award.

I understand that eligible children may participate in this special initiative FREE OF COST, subject to the applicable verification and recognition process.

A National Invitation to Every Autism Child

UNIQUE - Autism Recognition Initiative

Applying for

Who Are You Applying As?

Child's Details

Autism / Support Information

School / Institute Details

What Would You Like to Apply For?

Talent / Ability Details

Upload Child's Photographs

Upload Talent / Performance Photographs

Upload Performance Videos

Previous Recognition

Parent / Guardian / Referrer's Details

If You Are Referring Someone Else

Parent / Guardian Contact Details

Institution Registration

Company

CBR

Categories

Support