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This document is a disability certificate issued by the Joint Director of Health Services in India for Debajit Das, confirming a 57% permanent disability. It includes personal details such as his date of birth and residence, along with the certification date of July 29, 2019. The certificate serves to certify the disability but is not intended as identification or address proof.

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597 views1 page

Downloadcertificate

This document is a disability certificate issued by the Joint Director of Health Services in India for Debajit Das, confirming a 57% permanent disability. It includes personal details such as his date of birth and residence, along with the certification date of July 29, 2019. The certificate serves to certify the disability but is not intended as identification or address proof.

Uploaded by

dasdebajit582
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

Disability Certificate
Joint Director Of Health Services

Certificate No.: AS2321120000007174 Date: 29/07/2019


This is to certify that I/We have carefully examined Debajit Das Son of Shri Arun Ch Das, Date of Birth 13/10/2000, Male, Registration
No. 1823/00000/1908/0595647, resident of Garal Po Bhatta Prap Ps Azara - 781017, Sub District , District , State / UT 0
Whose photograph is affixed above, and I/We satisfied that:
(A) He is a case of
(B) The diagnosis in his case is
(C) He has 57% (in figure) Fifty Seven percent(in words) Permanent Disability in relation to his as per the
guidelines (Guidelines for the purpose of assessing the extent of specified disability in a person included under RPwD
Act, 2016 notified by Government of India vide S.O. 76(E) dated 04/01/2018).
The applicant has submitted the following document(s) as proof of residence:
Nature of Document(s): -

Signature / Thumb Impression of the Person with Disability

Signature of notified Medical Authority Member

Joint Director Of Health Services


,

This Card/Certificate is meant to certify the disability of the person and is not an instrument for ID/Address Proof for any
purpose.

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