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Registration Udid

The document is a registration acknowledgment for Sachin Balasaheb Bhosale, a 21-year-old male with a disability (Cerebral Palsy) and a disability percentage of 61%. It includes personal details, contact information, and addresses for correspondence and permanent residence. The document confirms his unemployment status and provides identity proof through an Aadhaar card.

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im98possible
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166 views2 pages

Registration Udid

The document is a registration acknowledgment for Sachin Balasaheb Bhosale, a 21-year-old male with a disability (Cerebral Palsy) and a disability percentage of 61%. It includes personal details, contact information, and addresses for correspondence and permanent residence. The document confirms his unemployment status and provides identity proof through an Aadhaar card.

Uploaded by

im98possible
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: 2735/00000/1906/1810371 Enrolment Date: 27/06/2019

PERSONAL DETAILS

Name of Applicant Sachin Balasaheb Bhosale आवे दक का नाम सिचन बाळाासाहे ब भोसले

Applicant Father's Name Balasaheb आवे दक के िपता का नाम बाळाासाहे ब

Applicant Mother's Name Anita आवे दक के माता का नाम अनीता

Date of Birth 26/01/1998 Age 21 Year(s)

Gender Male E-Mail Id ---------

Mark of Identification --------- Category General

Mobile Number 7066884433 Blood Group ---------

Marital Status ---------

Relation with PwD


---------
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / --------- Caretaker / Attendant / ---------
Related Related

Address of Correspondence

Address Bhosale Vast Gatgewadi Road Ambika Nagar Jat, Jat, Sangli, Maharashtra - 416404
पता भोसले वती घाटगे वाडी रोड अं िबका नगर जत, Jat, Sangli, Maharashtra - 416404

Nature of Document for Ration Card


Address Proof

Permanent Address

Address Bhosale Vast Gatgewadi Road Ambika Nagar Jat, Jat, Sangli, Maharashtra - 416404
पता भोसले वती घाटगे वाडी रोड अं िबका नगर जत, Jat, Sangli, Maharashtra - 416404

Educational Details

Highest Qualification ---------

DISABILITY DETAILS

Do you have disability Yes Disability Type Cerebral Palsy


certificate?
Disability certificate Sr. No. / Registration No.
Yes 541169
uploaded? of Certificate
Date of Issuance of Details of Issuing
10/05/2018 Medical Authority
Certificate Authority
Disability Percentage 61%
Disability Area --------- Disability Since 1998
Pension Card Number ---------
Hospital Treating
--------- Disability Due To ---------
Disability

EMPLOYMENT DETAILS

Employed or Unemployed Unemployed


Unemployed Since ---------
BPL / APL ---------
Personal Income (Annual) ---------

IDENTITY DETAILS

Identity Proof Aadhaar Card TIN (NPR) ---------


Aadhaar No. 679428147996

This is computer generated receipt and does not require any signature.

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