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Disability Registration Receipt for Ravi

This document is a registration acknowledgment for Ravi, a person with a locomotor disability, issued by the Department of Empowerment of Persons with Disabilities in India. It includes personal details such as his enrollment number, date of birth, contact information, and guardian details. The document also notes that Ravi is unemployed and has not yet obtained a disability certificate.

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ravikumarmaradh
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169 views2 pages

Disability Registration Receipt for Ravi

This document is a registration acknowledgment for Ravi, a person with a locomotor disability, issued by the Department of Empowerment of Persons with Disabilities in India. It includes personal details such as his enrollment number, date of birth, contact information, and guardian details. The document also notes that Ravi is unemployed and has not yet obtained a disability certificate.

Uploaded by

ravikumarmaradh
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: 06090000023021616886 Enrolment Date: 24/02/2023

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Ravi रिव
Language
Applicant Father's Name Suresh Applicant Mother's Name Rajkali
Date of Birth 18/10/2002
Mobile Number 7988313407 E-Mail Id [email protected]
Gender Male Category SC
Relation with PwD
Blood Group AB+ Mother
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Rajkali Caretaker / Attendant /
Related Related

Optional Details

Personal Income (Annual) Below 10000 Highest Qualification Senior Secondary


Employed or Unemployed Unemployed

Proof of Identity Card (See Instructions)

Identity Proof Aadhaar Card Aadhaar No. ********2670

Address of Correspondence

Address Vill Ambarsar Po Ujhana Teh


Narwana Dist Jind,Ambarsar
(43)
Narwana Jind
Haryana 126116
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? No Disability Type Locomotor Disability


Disability Due To Diseases
Hospital Treating State / UTs Haryana Hospital Treating District Jind
Hospital Name Civil Hospital, Jind

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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