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Disability Registration Receipt for Ashish

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hsthkaur380
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92 views1 page

Disability Registration Receipt for Ashish

Uploaded by

hsthkaur380
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: 08980000025090010293 Enrolment Date: 21/09/2025

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Ashish आशीष
Language
Applicant Father's Name Applicant Mother's Name
Date of Birth 12/08/1989
Mobile Number 9737169934 E-Mail Id
Gender Male
Relation with PwD
Brother
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Prashant Singh Caretaker / Attendant / 8955739756
Related Related

Proof of Identity Card (See Instructions)

Identity Proof Aadhaar Card Aadhaar No. ********6996

Address of Correspondence

Address Pura Pator,Baseri 1


Baseri Dholpur
Rajasthan 328022
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? No Disability Type Locomotor Disability


Disability Due To Accident
Hospital Treating State / UTs Rajasthan Hospital Treating District Dholpur
Hospital Name Community Health Center, Basedi

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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