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Disability certificate

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0% found this document useful (0 votes)
33 views2 pages

Downloadapplication

Disability certificate

Uploaded by

hrituraj791
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Department of Empowerment of Persons with Disabilities,

Ministry of Social Justice and Empowerment, Government of India


Acknowledgement / Resident Copy

Person with Disability Registration

Enrolment No: 102050000024060004112 Enrolment Date: 19/06/2024

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Abhinandan Yadav अिभनदन यादव
Language
Applicant Father's Name Domi Yadav Applicant Mother's Name
Date of Birth 13/11/1964
Mobile Number 6204234421 E-Mail Id
Gender Male Category OBC
Relation with PwD
Blood Group Father
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Domi Yadav Caretaker / Attendant / 6204234421
Related Related

Optional Details

Personal Income (Annual) 0 Highest Qualification


Employed or Unemployed

Proof of Identity Card (See Instructions)

Identity Proof Aadhaar Card Aadhaar No. ********9557

Address of Correspondence

Address Ramni Ward No-11 Gangapur


Madhepura,Gangapur
Murliganj Madhepura
Bihar 852122
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? No Disability Type Low Vision


Disability Due To
Hospital Treating State / UTs Bihar Hospital Treating District Madhepura
Hospital Name Sadar Hospital, Madhepura

For more information please scan the QR code to


visit 'PwD Login'
This is computer generated receipt and does not require any signature.

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