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Disability Registration Receipt for Sajroon

This document is a registration acknowledgment for a person with a disability named Sajroon, born on January 1, 2007, with a disability type of blindness and low vision due to congenital reasons. The enrollment number is 101880000025100014334, and it was registered on October 31, 2025. The document includes personal details, contact information, and the treating hospital's information in Bihar.

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6 views1 page

Disability Registration Receipt for Sajroon

This document is a registration acknowledgment for a person with a disability named Sajroon, born on January 1, 2007, with a disability type of blindness and low vision due to congenital reasons. The enrollment number is 101880000025100014334, and it was registered on October 31, 2025. The document includes personal details, contact information, and the treating hospital's information in Bihar.

Uploaded by

bharatonlineservice25
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: 101880000025100014334 Enrolment Date: 31/10/2025

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Sajroon सजन
Language
Applicant Father's Name Md Farook Applicant Mother's Name
Date of Birth 01/01/2007
Mobile Number 6287535164 E-Mail Id
Gender Female
Relation with PwD
Father
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Md Farook Caretaker / Attendant / 6287535164
Related Related

Proof of Identity Card (See Instructions)

Identity Proof Aadhaar Card Aadhaar No. ********5675

Address of Correspondence

Address Ward No 05, , , Purandaha,


Forbesganj Araria
Bihar 854311
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? No Disability Type Blindness,Low Vision


Disability Due To Congenital
Hospital Treating State / UTs Bihar Hospital Treating District Araria
Hospital Name Sadar Hospital, Araria

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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