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Application

The document is a registration acknowledgment for a person with a disability named P Rajesh, enrolled on June 3, 2025, under the Department of Empowerment of Persons with Disabilities in India. It includes personal details such as the applicant's date of birth, contact information, and address, as well as information about his low vision disability. The document also indicates that there is no disability certificate available for the applicant.

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prabaraj160
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7 views1 page

Application

The document is a registration acknowledgment for a person with a disability named P Rajesh, enrolled on June 3, 2025, under the Department of Empowerment of Persons with Disabilities in India. It includes personal details such as the applicant's date of birth, contact information, and address, as well as information about his low vision disability. The document also indicates that there is no disability certificate available for the applicant.

Uploaded by

prabaraj160
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: 33590000025060002925 Enrolment Date: 03/06/2025

PERSONAL DETAILS

Full Name in Regional


Name of Applicant P Rajesh பி ராேஜஷ்
Language
Applicant Father's Name Prabhakaran Applicant Mother's Name
Date of Birth 06/07/1988
Mobile Number 9500201608 E-Mail Id
Gender Male
Relation with PwD
Father
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Prabhakaran Caretaker / Attendant / 9500201608
Related Related

Proof of Identity Card (See Instructions)

Identity Proof Aadhaar Card Aadhaar No. ********5498

Address of Correspondence

Address 5/15a Annai Therasa 2ns Cross


St Holy Cross School Phase 3
Sathuvachari,
Vellore Vellore
Tamil Nadu 632009
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 Tamil Nadu Hospital Treating District Vellore
Government Vellore Medical College Hospital,
Hospital Name
Vellore

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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