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Disability Registration Receipt for Dev Kumar

This document is a registration acknowledgment for a person with disabilities named Dev Kumar, enrolled on 12/02/2025. It includes personal details, contact information, and disability specifics, indicating various disabilities such as Autism Spectrum Disorder and Hearing Impairment. The document also provides information about the guardian and the treating hospital in Aurangabad, Bihar.

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devkumar97386
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143 views2 pages

Disability Registration Receipt for Dev Kumar

This document is a registration acknowledgment for a person with disabilities named Dev Kumar, enrolled on 12/02/2025. It includes personal details, contact information, and disability specifics, indicating various disabilities such as Autism Spectrum Disorder and Hearing Impairment. The document also provides information about the guardian and the treating hospital in Aurangabad, Bihar.

Uploaded by

devkumar97386
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

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: 101890000025020003614 Enrolment Date: 12/02/2025

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Dev Kumar दे व कुमार
Language
Applicant Father's Name Ramanand Ram Applicant Mother's Name Lakhiya Devi
Date of Birth 17/07/2000
Mobile Number 9162032622 E-Mail Id deok55824@[Link]
Gender Male Category
Relation with PwD
Blood Group Mother
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Lakhiya Devi Caretaker / Attendant / 9128103454
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. ********7229

Address of Correspondence

Address Village Dindir P.o Dindir Police


Station Haspura,Dindir
Haspura Aurangabad
Bihar 824120
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? No Disability Type Autism Spectrum Disorder,Hearing


Impairment,Hemophilia,Intellectual
Disability,Leprosy cured,Muscular
Dystrophy,Speech and Language
Disability,Thalassemia
Disability Due To Hereditary
Hospital Treating State / UTs Bihar Hospital Treating District Aurangabad
Hospital Name Sadar Hospital, Aurangabad

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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