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This document is a registration acknowledgment for a person with disabilities named Abhijit Shashikant Mali, enrolled on 02/10/2024. It includes personal details, contact information, and disability specifics, indicating a hearing and speech impairment with a disability percentage of 47%. The document also confirms the upload of a disability certificate issued by the Chief Medical Office in Maharashtra.

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abhijeetmali0807
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83 views1 page

Downloadapplication

This document is a registration acknowledgment for a person with disabilities named Abhijit Shashikant Mali, enrolled on 02/10/2024. It includes personal details, contact information, and disability specifics, indicating a hearing and speech impairment with a disability percentage of 47%. The document also confirms the upload of a disability certificate issued by the Chief Medical Office in Maharashtra.

Uploaded by

abhijeetmali0807
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: 274940000024100004448 Enrolment Date: 02/10/2024

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Abhijit Shashikant Mali अिभजीत शिशकांत माळी
Language
Applicant Father's Name Shashikant Mali Applicant Mother's Name Suvarna Mali
Date of Birth 03/10/2001
Mobile Number 8862002935 E-Mail Id
Gender Male Category OBC
Relation with PwD
Father
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Shashikant Mali Caretaker / Attendant / 9561110675
Related Related

Proof of Identity Card (See Instructions)

Identity Proof Aadhaar Card Aadhaar No. ********3429

Address of Correspondence

Address At Post Chikhali, masur,


Tal.Karad, Dist.Satara,Chikhali
Karad Satara
Maharashtra 415106
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? Yes Disability Type Hearing Impairment,Speech and Language
Disability
Disability certificate uploaded? Yes Sr. No. / Registration No. of Certificate 84670
Date of Issuance of Certificate 20/06/2014 Details of Issuing Authority Chief Medical Office
Disability Percentage 47
Disability Due To Congenital
Hospital Treating State / UTs Maharashtra Hospital Treating District Satara
Hospital Name Sub District Hospital, Karad

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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