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This document is a registration acknowledgment for Jagsir Singh, a male applicant with low vision, under the Department of Empowerment of Persons with Disabilities in India. His enrollment number is 03430000024110002563, and he resides in Punjab. The document includes personal details, guardian information, and confirms that he does not have a disability certificate.

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arshdeepsingh0859
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67 views2 pages

Downloadapplication

This document is a registration acknowledgment for Jagsir Singh, a male applicant with low vision, under the Department of Empowerment of Persons with Disabilities in India. His enrollment number is 03430000024110002563, and he resides in Punjab. The document includes personal details, guardian information, and confirms that he does not have a disability certificate.

Uploaded by

arshdeepsingh0859
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: 03430000024110002563 Enrolment Date: 05/11/2024

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Jagsir Singh ਜਗਸੀਰ ਿਸੰਘ
Language
Applicant Father's Name Karnail Singh Applicant Mother's Name Angrej Kaur
Date of Birth 01/01/1976
Mobile Number 9781220933 E-Mail Id
Gender Male Category SC
Relation with PwD
Blood Group Wife
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Sarabjeet Kaur Caretaker / Attendant / 9781220933
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. ********4222

Address of Correspondence

Address S/o Karnail Singh Village


Ghorenab Tehsil Lehra District
Sangrur.,Ghoranab (59)
Lehra Sangrur
Punjab 148031
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 Punjab Hospital Treating District Sangrur
Hospital Name Civil Hospital Sunam

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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