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Disability Registration Acknowledgment

This document is an acknowledgment of registration for a person with disability named Natara Ali Sk, who has a locomotor disability with a 50% disability percentage. The registration includes personal details, contact information, and disability certification details. The document serves as a resident copy issued by the Department of Empowerment of Persons with Disabilities, Government of India.

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bskramjibanpurbphc000
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31 views2 pages

Disability Registration Acknowledgment

This document is an acknowledgment of registration for a person with disability named Natara Ali Sk, who has a locomotor disability with a 50% disability percentage. The registration includes personal details, contact information, and disability certification details. The document serves as a resident copy issued by the Department of Empowerment of Persons with Disabilities, Government of India.

Uploaded by

bskramjibanpurbphc000
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: 197090000024096383520 Enrolment Date: 25/09/2024

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Natara Ali Sk Natara Ali Sk
Language
Applicant Father's Name Budu Sekh Applicant Mother's Name Manowara Bibi
Date of Birth 04/02/1980
Mobile Number 6297842973 E-Mail Id
Gender Male Category General
Relation with PwD
Blood Group Self
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Caretaker / Attendant /
Related Related

Optional Details

Personal Income (Annual) Highest Qualification Primary


Employed or Unemployed

Proof of Identity Card (See Instructions)

Identity Proof Aadhaar Card Aadhaar No. ********9254

Address of Correspondence

Address Shrigram Biruri Ketugram


713129,
Ketugram - I Purba Bardhaman
West Bengal 713129
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? Yes Disability Type Locomotor Disability


Disability certificate uploaded? Yes Sr. No. / Registration No. of Certificate BERU
Date of Issuance of Certificate 01/01/1970 Details of Issuing Authority 242
Disability Percentage 50
Disability Due To Congenital
Hospital Treating State / UTs West Bengal Hospital Treating District Purba Bardhaman
Hospital Name Sub Division Hospital-Katwa

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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