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AS7310519870003035 DisabilityCertificate

This document is a disability certificate issued by the Joint Director of Health Services in Assam for Rupam Sarma, confirming a permanent locomotor disability due to transtibial amputation of the left lower limb with a disability percentage of 70%. The certificate is issued in accordance with the Rights of Persons with Disabilities Act, 2016. It is important to note that this certificate is not intended for use as ID or address proof.

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Himangshu Kalita
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4 views1 page

AS7310519870003035 DisabilityCertificate

This document is a disability certificate issued by the Joint Director of Health Services in Assam for Rupam Sarma, confirming a permanent locomotor disability due to transtibial amputation of the left lower limb with a disability percentage of 70%. The certificate is issued in accordance with the Rights of Persons with Disabilities Act, 2016. It is important to note that this certificate is not intended for use as ID or address proof.

Uploaded by

Himangshu Kalita
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

Disability Certificate
Joint Director Of Health Services
Pathsala SDCH, Hospital Road, Pathsala, Bajali, 781325
Bajali, Assam, 781301

Certificate/UDID No. AS7310519870003035 Date of Issue: 11/07/2025


This is to certify that I/We have carefully examined Rupam Sarma Care of Garima Devi, Date of Birth
01/11/1987,Gender Male, Registration No. 1861/80000/0250/10003807, Resident of C/o Dwipendra Nath Sarma, Vill + P O
Patacharkuchi Bajali (pt), , Bajali, , Assam - 781325 whose photograph is affixed above, and I am /we are satisfied that:
(A) He is a case of : Locomotor Disability.
(B) Name of affected body part: LEFT LOWER LIMB.
(C) The diagnosis in his case is TRANSTIBIAL AMPUTATION.
(D) He has 70% (in figure) seventy percent(in words) disability and the nature of certificate is Permanent as
per the guidelines for the purpose of assessing the extent of specified disability in a person included under the
Rights of Persons with Disabilities Act, 2016 notified by Government of India vide S.O.1338(E) dated 12/03/2024.

Signature / Thumb impression of the Person with


Disability:

Joint Director Of Health Services


Pathsala SDCH, Hospital Road, Pathsala, Bajali, 781325
Bajali, Assam, 781301
Signature of notified Medical Authority Members:

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

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