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This document is a registration acknowledgment for Ayan Saha, a person with a disability, issued by the Department of Empowerment of Persons with Disabilities, Government of India. It includes personal details such as his date of birth, contact information, and disability information, indicating he has an intellectual disability with a 30% disability percentage. The document also contains information about his guardian and the hospital where he was treated.

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Sahan SahA
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115 views2 pages

Application

This document is a registration acknowledgment for Ayan Saha, a person with a disability, issued by the Department of Empowerment of Persons with Disabilities, Government of India. It includes personal details such as his date of birth, contact information, and disability information, indicating he has an intellectual disability with a 30% disability percentage. The document also contains information about his guardian and the hospital where he was treated.

Uploaded by

Sahan SahA
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: 193150000025060009090 Enrolment Date: 12/06/2025

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Ayan Saha আয়ান সাহা
Language
Applicant Father's Name Ajoy Kumar Saha Applicant Mother's Name
Date of Birth 04/02/1993
Mobile Number 9804622752 E-Mail Id
Gender Male Category
Relation with PwD (Person
Blood Group Father
with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Ajoy Kumar Saha Caretaker / Attendant / 9804622752
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. ********1748

Address of Correspondence

Address 9/2 B P Mitra Road Alam Bazar ,


Barrackpur - I North 24
Parganas
West Bengal 700035
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? Yes Disability Type Intellectual Disability


Disability certificate uploaded? No Sr. No. / Registration No. of Certificate RGKH/74(24)/ZMB(Mental)/2003/4
Date of Issuance of Certificate 07/01/2004 Details of Issuing Authority Medical Authority
Disability Percentage 30
Disability Due To Congenital
Hospital Treating State / UTs West Bengal Hospital Treating District Kolkata
Hospital Name RG Kar Medical College & Hospital

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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