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Application

This document provides details of a person with disability registration for an individual named Shafiq Ahmad Awan. It includes personal details like name, address, disability type and other medical details. The document is a computer generated receipt that acknowledges an individual's registration as a person with a disability.

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shafeeqahmadawan
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50 views2 pages

Application

This document provides details of a person with disability registration for an individual named Shafiq Ahmad Awan. It includes personal details like name, address, disability type and other medical details. The document is a computer generated receipt that acknowledges an individual's registration as a person with a disability.

Uploaded by

shafeeqahmadawan
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: 0101/00000/2404/0973785 Enrolment Date: 28/04/2024

PERSONAL DETAILS

Name of Applicant Shafiq Ahmad Awan ‫درﺧﻮاﺳﺖ ﮔﺰار ﮐﺎ ﻧﺎم‬ ‫ﺷﻔﯿﻖ اﺣﻤﺪ اﻋﻮن‬

Applicant Father's Name Syed Alam Awan Applicant Mother's Name Noorjaan

Date of Birth 16/01/1973 Age 51 Year(s)

shafeeqahmadawan@gmail.
Mobile Number 9596512085 E-Mail Id
com

Gender Male Category ST

Relation with PwD


Blood Group O+ Self
(Person with Disability)

Name of Guardian / Contact No. of Guardian /


Caretaker / Attendant / Waqar Awan Caretaker / Attendant / 7051827181
Related Related

Optional Details

Personal Income (Annual) --------- Highest Qualification ---------


Employed or Unemployed ---------

Proof of Identity Card (See Instructions)

Identity Proof Aadhaar Card Aadhaar No. 728002123762

Address of Correspondence

Address Nawagabra Karnah, Nowangabra (ct), Karnah, Kupwara, Jammu And Kashmir - 190018
Nature of Document for Aadhaar Card
Address Proof

DISABILITY DETAILS

Do you have disability certificate? Yes Disability Type Locomotor Disability


Disability certificate uploaded? Yes Sr. No. / Registration No. of Certificate 272/CRC/15/07/2015/67457
Date of Issuance of Certificate 15/07/2015 Details of Issuing Authority Medical Authority
Disability Percentage 90%
Disability Area ---------
Disability Due To Accident
Hospital Treating State / UTs JAMMU AND KASHMIR Hospital Treating District KUPWARA
Hospital Name SDH Kupwara
This is computer generated receipt and does not require any signature.

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