Scribd
Upload
36 views4 pages

Adiansh Merged

The document is a disability certificate issued by Janakpuri Super Speciality Hospital, certifying that Shri Adiansh has a 60% permanent locomotor disability. It includes his personal details, the nature of his disability, and the proof of residence provided. The certificate is not intended for identification or address proof purposes.

Uploaded by

213j1a0465
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
36 views4 pages

Adiansh Merged

The document is a disability certificate issued by Janakpuri Super Speciality Hospital, certifying that Shri Adiansh has a 60% permanent locomotor disability. It includes his personal details, the nature of his disability, and the proof of residence provided. The certificate is not intended for identification or address proof purposes.

Uploaded by

213j1a0465
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
You are on page 1/ 4

Department of Empowerment of Persons with Disabilities,

Ministry of Social Justice and Empowerment, Government of India

Disability Certificate
Janakpuri Super Speciality Hospital, West, Delhi

Certificate No.: DL0741219840012936 Date: 29/12/2020

This is to certify that I/We have carefully examined Shri Adiansh S/O/D/O Nand Kishor, Date of Birth 06/11/2007,
Male, Registration No0707/00000/2110/0943630, resident of O-33, Gali NO-8 Phase-4, Shiv Vihar, Karawal Nagar,
PO,Karawal Nagar Dist-North East Delhi-110094, State / UT Delhi
Whose photograph is affixed above, and I/We satisfied that:
(A) He is a case of Locomotor
(B) The diagnosis in his case is Locomotor
(C) He has 60% (in figure) Sixty percent(in words) Permanent Disability in relation to his BODY as per the guidelines
(Guidelines for the purpose of assessing the extent of specified disability in a person included under RPwD Act, 2016
notified by Government of India vide S.O. 76(E) dated 04/01/2018).

The applicant has submitted the following document(s) as proof of residence:


Nature of Document(s): Aadhaar card

Signature / Thumb Impression of the Person with Disability

Signature of notified Medical Authority Member

Janakpuri Super Speciality Hospital


West, Delhi

This Card/Certificate is meant to certify the disability of the person and is not an instrument for ID/Address Proof for any purpose.

You might also like