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Disability Registration Receipt for Bijaya Kumar

The document is a registration acknowledgment for Bijaya Kumar Nayak, a male applicant with a disability, specifically mental illness, due to hereditary factors. His enrollment number is 21160000020021877753, and he is currently unemployed with a post-graduate qualification. The document includes personal details, contact information, and the address of correspondence in Odisha.

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35 views2 pages

Disability Registration Receipt for Bijaya Kumar

The document is a registration acknowledgment for Bijaya Kumar Nayak, a male applicant with a disability, specifically mental illness, due to hereditary factors. His enrollment number is 21160000020021877753, and he is currently unemployed with a post-graduate qualification. The document includes personal details, contact information, and the address of correspondence in Odisha.

Uploaded by

situsatyajeet
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: 21160000020021877753 Enrolment Date: 07/02/2020

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Bijaya Kumar Nayak ବିଜୟ କୁ ମାର ୟକ
Language
Applicant Father's Name Brajabandhu Nayak Applicant Mother's Name Saudamini Nayak
Date of Birth 04/05/1985
Mobile Number 8018855864 E-Mail Id tapubibhu2@[Link]
Gender Male Category OBC
Relation with PwD
Blood Group O+ Father
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Brajabandhu Nayak Caretaker / Attendant / 7854085989
Related Related

Optional Details

Personal Income (Annual) Highest Qualification Post Graduate


Employed or Unemployed Unemployed

Proof of Identity Card (See Instructions)

Identity Proof Aadhaar Card Aadhaar No. ********8856

Address of Correspondence

Address At-Gobindapur, Po-


Gadadharprasad,Via/Ps-Itamati,
Nayagarh Nayagarh
Odisha 752068
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? No Disability Type Mental Illness


Disability Due To Hereditary
Hospital Treating State / UTs Odisha Hospital Treating District Nayagarh
Hospital Name District Headquarter Hospital, Nayagarh

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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