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: 274990000024100002354 Enrolment Date: 01/10/2024
PERSONAL DETAILS
Dnyaneshwar Tulshiram Full Name in Regional
Name of Applicant ाने वर तु ळशीराम हरणे
Harane Language
Applicant Father's Name Tulshiram Applicant Mother's Name
Date of Birth 03/07/1990
Mobile Number 8605808156 E-Mail Id
Gender Male Category OBC
Relation with PwD
Blood Group AB+ Brother
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Rameshwar Harane Caretaker / Attendant / 9075100377
Related Related
Optional Details
Below Rupees 10000 Per
Personal Income (Annual) Highest Qualification Illiterate
Annum
Employed or Unemployed Unemployed
Proof of Identity Card (See Instructions)
Identity Proof Aadhaar Card Aadhaar No. ********3808
Address of Correspondence
Address At Koyali Bk Ta Risod Dist
Washim Maharashtra
444504,Koyali Bk.
Risod Washim
Maharashtra 444504
Nature of Document Aadhaar card
for Address Proof
DISABILITY DETAILS
Do you have disability certificate? No Disability Type Mental Illness
Disability Due To Congenital
Hospital Treating State / UTs Maharashtra Hospital Treating District Washim
Hospital Name District Civil Hospital, Washim
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