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UDID Card for Person with Disability

This document is a registration acknowledgment for Km Jyoti, a female person with a disability, enrolled on 22/01/2025. She has low vision due to a congenital condition and resides in Gorakhpur, Uttar Pradesh. The document includes personal details, guardian information, and indicates that she does not have a disability certificate.

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js386513
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289 views1 page

UDID Card for Person with Disability

This document is a registration acknowledgment for Km Jyoti, a female person with a disability, enrolled on 22/01/2025. She has low vision due to a congenital condition and resides in Gorakhpur, Uttar Pradesh. The document includes personal details, guardian information, and indicates that she does not have a disability certificate.

Uploaded by

js386513
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: 091480000025010015578 Enrolment Date: 22/01/2025

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Km Jyoti िकमी योित
Language
Applicant Father's Name Shivshankar Singh Applicant Mother's Name
Date of Birth 10/07/1999
Mobile Number 8563957922 E-Mail Id js386513@[Link]
Gender Female Category
Relation with PwD
Blood Group Father
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Shivshankar Singh Caretaker / Attendant / 9795612611
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. ********9249

Address of Correspondence

Address Village -belabhar, Post-dhobuli,


Thaseel-khajani, District -
gorakhpur ,Bela Bhar
Khajni Gorakhpur
Uttar Pradesh 273212
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? No Disability Type Low Vision


Disability Due To Congenital
Hospital Treating State / UTs Uttar Pradesh Hospital Treating District Gorakhpur
Neta ji Subhash Chandra bose District hospital campus
Hospital Name
Near Ghose company

For more information please scan the QR


code to visit 'PwD Login'

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