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This document is a registration acknowledgment for Shabeera, a female person with a disability, enrolled on 02/04/2025. She has low vision due to an accident and is treated at Byramjee Jeejeebho Government Medical College in Pune, Maharashtra. The document includes personal details, contact information, and identity proof related to her registration as a person with a disability.

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Suraj Pandey
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197 views1 page

Downloadapplication

This document is a registration acknowledgment for Shabeera, a female person with a disability, enrolled on 02/04/2025. She has low vision due to an accident and is treated at Byramjee Jeejeebho Government Medical College in Pune, Maharashtra. The document includes personal details, contact information, and identity proof related to her registration as a person with a disability.

Uploaded by

Suraj Pandey
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: 274900000025040003075 Enrolment Date: 02/04/2025

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Shabeera शबीरा
Language
Applicant Father's Name Applicant Mother's Name
Date of Birth 14/07/2005
Mobile Number 9699156345 E-Mail Id sp1620772@[Link]
Gender Female
Relation with PwD
Husband
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Suraj Kumar Pandey Caretaker / Attendant / 9899236781
Related Related

Proof of Identity Card (See Instructions)

Identity Proof Aadhaar Card Aadhaar No. ********0890

Address of Correspondence

Address Raikar Mala ,


Pune City Pune
Maharashtra 412207
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? No Disability Type Low Vision


Disability Due To Accident
Hospital Treating State / UTs Maharashtra Hospital Treating District Pune
Byramjee Jeejeebho (B.J) Government Medical College
Hospital Name
& Sassoon General Hospital, Pune

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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