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: 09440000023020628342 Enrolment Date: 09/02/2023
PERSONAL DETAILS
Full Name in Regional
Name of Applicant Sachchidanand Pandey सिचदानं द पांडेय
Language
Applicant Father's Name Rajendra Kishor Pandey Applicant Mother's Name Shanti Devi
Date of Birth 01/01/1963
apandey211002@gmail.co
Mobile Number 9919166388 E-Mail Id
m
Gender Male Category General
Relation with PwD
Blood Group Son
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Om Narayan Pandey Caretaker / Attendant / 6393392551
Related Related
Optional Details
Personal Income (Annual) Below 10000 Highest Qualification Illiterate
Employed or Unemployed Unemployed
Proof of Identity Card (See Instructions)
Identity Proof Aadhaar Card Aadhaar No. ********6611
Address of Correspondence
Address 1A/23B Ram Priya Road Prayag
Prayagraj 211002,
Allahabad Prayagraj
Uttar Pradesh 211002
Nature of Document Aadhaar card
for Address Proof
DISABILITY DETAILS
Do you have disability certificate? Yes Disability Type Blindness
Disability certificate uploaded? Yes Sr. No. / Registration No. of Certificate 1971
Date of Issuance of Certificate 18/12/1997 Details of Issuing Authority Chief Medical Office
Disability Percentage 100
Disability Due To Congenital
Hospital Treating State / UTs Uttar Pradesh Hospital Treating District Prayagraj
Hospital Name CMO OFFICE PRAYAGRAJ
For more information please scan the QR code to
visit 'PwD Login'
This is computer generated receipt and does not require any signature.
