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: 274720000024110003654 Enrolment Date: 04/11/2024
PERSONAL DETAILS
Shaikh Parvez Shaikh Full Name in Regional
Name of Applicant शे ख परवे ज़ शे ख रहे मान
Raheman Language
Applicant Father's Name Shaikh Raheman Applicant Mother's Name Khaledabi
Date of Birth 10/06/1989
Mobile Number 7798647475 E-Mail Id
Gender Male Category General
Relation with PwD
Blood Group Self
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Caretaker / Attendant /
Related Related
Optional Details
Personal Income (Annual) 0 Highest Qualification
Employed or Unemployed
Proof of Identity Card (See Instructions)
Identity Proof Aadhaar Card Aadhaar No. ********1509
Address of Correspondence
Address At. Near Jamamasjid, Mera
Kh.,Mera Kh.
Chikhli Buldhana
Maharashtra 443201
Nature of Document Aadhaar card
for Address Proof
DISABILITY DETAILS
Do you have disability certificate? No Disability Type Low Vision
Disability Due To
Hospital Treating State / UTs Maharashtra Hospital Treating District Buldhana
Hospital Name District Civil Hospital buldhana
For more information please scan the QR code to
visit 'PwD Login'
This is computer generated receipt and does not require any signature.
