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
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