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The document is a registration acknowledgment for Gunjan Rajeshbhai Chauhan, a person with disabilities, enrolled on 02/03/2025. It includes personal details such as contact information, family relations, and disability specifics, indicating he has Autism Spectrum Disorder and Low Vision. The document also contains information about his identity proof and address in Anand, Gujarat.

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201 views2 pages

Downloadapplication

The document is a registration acknowledgment for Gunjan Rajeshbhai Chauhan, a person with disabilities, enrolled on 02/03/2025. It includes personal details such as contact information, family relations, and disability specifics, indicating he has Autism Spectrum Disorder and Low Vision. The document also contains information about his identity proof and address in Anand, Gujarat.

Uploaded by

gunjanc064
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: 244400000025030002357 Enrolment Date: 02/03/2025

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Gunjan Rajeshbhai Chauhan ગુજ
ં ન રાજેશભાઇ ચૌહાણ
Language
Rajeshbhai Jayrambhai
Applicant Father's Name Applicant Mother's Name
Chauhan
Date of Birth 28/06/1994
Mobile Number 7572845488 E-Mail Id [email protected]
Gender Male Category
Relation with PwD
Blood Group Father
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Rajeshbhai Jayrambhai
Caretaker / Attendant / Caretaker / Attendant / 9924734600
Chauhan
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. ********2811

Address of Correspondence

Address 15 B Alpesh Society No 2,Anand


City
Anand City Anand
Gujarat 388001
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? No Disability Type Autism Spectrum Disorder,Low Vision
Disability Due To Accident
Hospital Treating State / UTs Gujarat Hospital Treating District Anand
Hospital Name General Hospital, Anand

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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