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Disability Registration Receipt for Aamanchi Vamsi

This document is a registration acknowledgment for Aamanchi Vamsi, a person with a disability, issued by the Department of Empowerment of Persons with Disabilities, Government of India. It includes personal details, contact information, and disability specifics, confirming a disability type of Hemophilia with a certificate issued on 20/11/2023. The document serves as a proof of registration and does not require a signature as it is computer generated.

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Venu Yasarapu
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0% found this document useful (0 votes)
191 views2 pages

Disability Registration Receipt for Aamanchi Vamsi

This document is a registration acknowledgment for Aamanchi Vamsi, a person with a disability, issued by the Department of Empowerment of Persons with Disabilities, Government of India. It includes personal details, contact information, and disability specifics, confirming a disability type of Hemophilia with a certificate issued on 20/11/2023. The document serves as a proof of registration and does not require a signature as it is computer generated.

Uploaded by

Venu Yasarapu
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: 28150000024010249455 Enrolment Date: 04/01/2024

PERSONAL DETAILS

Full Name in Regional ఆమం వం


Name of Applicant Aamanchi Vamsi
Language
Applicant Father's Name Durgarao Applicant Mother's Name Seeta Maha Lakshmi
Date of Birth 29/09/1999
Mobile Number 7287086083 E-Mail Id
Gender Male Category General
Relation with PwD
Blood Group A+ Wife
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Aamanchi Anitha Caretaker / Attendant / 9063313696
Related Related

Optional Details

Personal Income (Annual) 100000 to 500000 Highest Qualification Higher Secondary


Employed or Unemployed Employed

Proof of Identity Card (See Instructions)

Identity Proof Aadhaar Card Aadhaar No. ********2180

Address of Correspondence

Address H No 12-135/1 Behind Police


Station ,Pentapadu
Pentapadu West Godavari
Andhra Pradesh 534166
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? Yes Disability Type Hemophilia


Disability certificate uploaded? Yes Sr. No. / Registration No. of Certificate 134/G1
Date of Issuance of Certificate 20/11/2023 Details of Issuing Authority Chief Medical Office
Disability Percentage 1
Disability Due To
Hospital Treating State / UTs Andhra Pradesh Hospital Treating District West Godavari
Hospital Name Area Hospital, Tadepalligudem

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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