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: 081050000024110037492 Enrolment Date: 25/11/2024
PERSONAL DETAILS
Full Name in Regional
Name of Applicant Lila Bai लीला बाई
Language
Applicant Father's Name Ramlal Applicant Mother's Name Shanti Bai
Date of Birth 01/01/1960
Mobile Number 9166123049 E-Mail Id
Gender Female Category SC
Relation with PwD
Blood Group Husband
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Bhanwar Lal Caretaker / Attendant / 9166123049
Related Related
Optional Details
Below Rupees 10000 Per
Personal Income (Annual) Highest Qualification Illiterate
Annum
Employed or Unemployed Unemployed
Proof of Identity Card (See Instructions)
Identity Proof Aadhaar Card Aadhaar No. ********4358
Address of Correspondence
Address Vill Kuwabhaw Teh Asnawar
Dist Jhalawar,Kuwabhao @
Bhopatpura
Asnawar Jhalawar
Rajasthan 326001
Nature of Document Aadhaar card
for Address Proof
DISABILITY DETAILS
Do you have disability certificate? No Disability Type Locomotor Disability
Disability Due To Hereditary
Hospital Treating State / UTs Rajasthan Hospital Treating District Jhalawar
Hospital Name Block Jhalarapatan
For more information please scan the QR code to
visit 'PwD Login'
This is computer generated receipt and does not require any signature.
