Scribd
Upload
39 views1 page

Downloadapplication

This document is an acknowledgment of registration for a person with disability named Pritam Kumar, with an enrollment number and date. It includes personal details such as contact information, guardian details, and address, as well as information about his locomotor disability and the treating hospital. The document is a computer-generated receipt and does not require a signature.

Uploaded by

papido8524
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
39 views1 page

Downloadapplication

This document is an acknowledgment of registration for a person with disability named Pritam Kumar, with an enrollment number and date. It includes personal details such as contact information, guardian details, and address, as well as information about his locomotor disability and the treating hospital. The document is a computer-generated receipt and does not require a signature.

Uploaded by

papido8524
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: 101890000025070007988 Enrolment Date: 18/07/2025

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Pritam Kumar ितम कुमार
Language
Applicant Father's Name Binod Kumar Verma Applicant Mother's Name
Date of Birth 05/04/2007
Mobile Number 6206438249 E-Mail Id pk1451445@[Link]
Gender Male
Relation with PwD
Father
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Binod Kumar Verma Caretaker / Attendant / 6206438249
Related Related

Proof of Identity Card (See Instructions)

Identity Proof Aadhaar Card Aadhaar No. ********7586

Address of Correspondence

Address Vill Po Hichhan Bigha Ps


Daudnagar Dist
Aurangabad,Mohamadpur
Daudnagar Aurangabad
Bihar 824143
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? No Disability Type Locomotor Disability


Disability Due To
Hospital Treating State / UTs Bihar Hospital Treating District Aurangabad
Hospital Name Sadar Hospital, Aurangabad

For more information please scan the QR code to


visit 'PwD Login'

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

You might also like