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Disability Registration Acknowledgment Copy

This document is a registration acknowledgment for Subhash Atmaratm Patil, a person with a hearing impairment, registered under the Department of Empowerment of Persons with Disabilities in India. It includes personal details such as his date of birth, contact information, and employment status, as well as information about his disability. The document is computer-generated and does not require a signature.

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150 views2 pages

Disability Registration Acknowledgment Copy

This document is a registration acknowledgment for Subhash Atmaratm Patil, a person with a hearing impairment, registered under the Department of Empowerment of Persons with Disabilities in India. It includes personal details such as his date of birth, contact information, and employment status, as well as information about his disability. The document is computer-generated and does not require a signature.

Uploaded by

oneplus777000
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: 27030000019031517578 Enrolment Date: 26/03/2019

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Subhash Atmaratm Patil सु भाष आमाराम पािटल
Language
Applicant Father's Name Atamram Applicant Mother's Name Jijabai
Date of Birth 01/06/1966
Mobile Number 9881750036 E-Mail Id subhashp8899@[Link]
Gender Male Category OBC
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) From 10000 To 100000 Highest Qualification Higher Secondary
Employed or Unemployed Employed

Proof of Identity Card (See Instructions)

Identity Proof Aadhaar Card Aadhaar No. ********8104

Address of Correspondence

Address At Ekrukhi Post Sarbeta


Amalner,Ekrukhi
Amalner Jalgaon
Maharashtra 425401
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? No Disability Type Hearing Impairment


Disability Due To Congenital
Hospital Treating State / UTs Maharashtra Hospital Treating District Jalgaon
Hospital Name Government Medical College, Jalgaon

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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