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Disability Registration Receipt for Ankur Sharma

The document is a registration acknowledgment for Ankur Sharma, a person with a locomotor disability due to an accident, issued by the Department of Empowerment of Persons with Disabilities in India. It includes personal details such as the applicant's name, date of birth, and contact information, as well as information about the treating hospital. The document serves as a proof of registration and does not require a signature.

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panjalisharma1511
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14 views1 page

Disability Registration Receipt for Ankur Sharma

The document is a registration acknowledgment for Ankur Sharma, a person with a locomotor disability due to an accident, issued by the Department of Empowerment of Persons with Disabilities in India. It includes personal details such as the applicant's name, date of birth, and contact information, as well as information about the treating hospital. The document serves as a proof of registration and does not require a signature.

Uploaded by

panjalisharma1511
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: 091450000025100005719 Enrolment Date: 27/10/2025

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Ankur Sharma अं कुर शमा
Language
Applicant Father's Name Sanjeev Kumar Sharma Applicant Mother's Name
Date of Birth 17/08/2008
Mobile Number 8851599654 E-Mail Id
Gender Male
Relation with PwD
Father
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Sanjeev Kumar Sharma Caretaker / Attendant / 8851599654
Related Related

Proof of Identity Card (See Instructions)

Identity Proof Aadhaar Card Aadhaar No. ********8400

Address of Correspondence

Address 268/9, Shashtri Nagar,


Ghaziabad,
Ghaziabad Ghaziabad
Uttar Pradesh 201002
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 Uttar Pradesh Hospital Treating District Ghaziabad
Hospital Name M.M.G. District Hospital, Ghaziabad

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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