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Disability Registration Receipt for Anu Kumari

The document is a registration acknowledgment for Anu Kumari, a person with a locomotor disability, issued by the Department of Empowerment of Persons with Disabilities in India. It includes personal details, disability information, and contact information for her guardian. The registration number is 101930000025010019965, and the disability certificate was issued on 20/12/2011 with a disability percentage of 40%.

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sandeepkumar7360973586
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12 views1 page

Disability Registration Receipt for Anu Kumari

The document is a registration acknowledgment for Anu Kumari, a person with a locomotor disability, issued by the Department of Empowerment of Persons with Disabilities in India. It includes personal details, disability information, and contact information for her guardian. The registration number is 101930000025010019965, and the disability certificate was issued on 20/12/2011 with a disability percentage of 40%.

Uploaded by

sandeepkumar7360973586
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: 101930000025010019965 Enrolment Date: 30/01/2025

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Anu Kumari अनु कुमारी
Language
Applicant Father's Name Applicant Mother's Name
Date of Birth 01/01/2001
Mobile Number 9315178004 E-Mail Id
Gender Female
Relation with PwD
Husband
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Guddu Kumar Caretaker / Attendant / 8882865499
Related Related

Proof of Identity Card (See Instructions)

Identity Proof Aadhaar Card Aadhaar No. ********3434

Address of Correspondence

Address Vill.-kori,p.o.-kori,p.s.-
sandesh,dist.-
bhojpur,bihar,802164,Kori
Sandesh Bhojpur
Bihar 802164
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? Yes Disability Type Locomotor Disability


Disability certificate uploaded? Yes Sr. No. / Registration No. of Certificate 373
Date of Issuance of Certificate 20/12/2011 Details of Issuing Authority Chief Medical Office
Disability Percentage 40
Disability Due To Congenital
Hospital Treating State / UTs Bihar Hospital Treating District Bhojpur
Hospital Name Sadar Hospital, Ara

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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