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: 27030000024030374475 Enrolment Date: 07/03/2024
PERSONAL DETAILS
Full Name in Regional
Name of Applicant Azhar Ali Muzffar Ali अजहर आली मु जफर आली
Language
Applicant Father's Name Muzffar Ali Applicant Mother's Name Safiyabi
Date of Birth 01/01/1987
Mobile Number 9960325884 E-Mail Id
Gender Male Category General
Relation with PwD
Blood Group Wife
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Kausarbano Caretaker / Attendant / 9960325884
Related Related
Optional Details
Personal Income (Annual) Highest Qualification
Employed or Unemployed
Proof of Identity Card (See Instructions)
Identity Proof Aadhaar Card Aadhaar No. ********9075
Address of Correspondence
Address Kazi Pura Yawal Post Yawal ,
Yawal Jalgaon
Maharashtra 425301
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 284386
Date of Issuance of Certificate 15/03/2018 Details of Issuing Authority Medical Authority
Disability Percentage 40
Disability Due To
Hospital Treating State / UTs Maharashtra Hospital Treating District Jalgaon
Hospital Name District Civil Hospital, Jalgoan
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