Scribd
Upload
60 views1 page

Disability Certificate for Mental Illness

This document is a registration acknowledgment for Sunil Prasad, a person with disabilities, issued by the Department of Empowerment of Persons with Disabilities, Government of India. It includes personal details, contact information, and disability specifics, indicating he has low vision and mental illness with a disability percentage of 65%. The document serves as a proof of registration and does not require a signature as it is computer-generated.

Uploaded by

sunilprasadkhu
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
60 views1 page

Disability Certificate for Mental Illness

This document is a registration acknowledgment for Sunil Prasad, a person with disabilities, issued by the Department of Empowerment of Persons with Disabilities, Government of India. It includes personal details, contact information, and disability specifics, indicating he has low vision and mental illness with a disability percentage of 65%. The document serves as a proof of registration and does not require a signature as it is computer-generated.

Uploaded by

sunilprasadkhu
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: 102060000025060006643 Enrolment Date: 21/06/2025

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Sunil Prasad सु नील साद
Language
Applicant Father's Name Mahabir Prasad Applicant Mother's Name
Date of Birth 07/05/1995
Mobile Number 6299891350 E-Mail Id jag.narayan92@[Link]
Gender Male
Relation with PwD
Father
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Mahabir Prasad Caretaker / Attendant / 9771153972
Related Related

Proof of Identity Card (See Instructions)

Identity Proof Aadhaar Card Aadhaar No. ********4501

Address of Correspondence

Address At Khutauna Near Indian Petrol


Pump,Khutauna
Laukaha Madhubani
Bihar 847227
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? Yes Disability Type Low Vision,Mental Illness
Disability certificate uploaded? Yes Sr. No. / Registration No. of Certificate 39
Date of Issuance of Certificate 18/07/2003 Details of Issuing Authority Medical Authority
Disability Percentage 65
Disability Due To Congenital
Hospital Treating State / UTs Bihar Hospital Treating District Madhubani
Hospital Name Sadar Hospital, Madhubani

For more information please scan the QR code to


visit 'PwD Login'

This is computer generated receipt and does not require any signature.

You might also like