Department of Empowerment of Persons with Disabilities,
Ministry of Social Justice and Empowerment, Government of India
Disability Certificate
National Institute for Locomotor
Disabilities, Bon Hooghly
Government Colony Baranagar,
West Bengal
Certificate No.: WB1868248769874536 Date: 29/11/2021
This is to certify that I/we have carefully examined Sumit Das, Son of Shri Ripan Krishna Das, Date of Birth 20-
01-2001, Age 26, M, Registration No. 1912/00000/2579/24578963, resident Sonamukhi Ashuti, Rajarampur –
7100141, District Maheshtala, State / UT West Bengal, whose photograph is affixed above, and I am/we are
satisfied that:
(A) He is a case of Chronic neurological
(B) The diagnosis in his case is BL PROFOUND SHI
(C) He has 56(in figure) Fifty Six percent (in words) Permanent Disability of EARS in relation to his case as per the
guidelines (Guidelines for the purpose of assessing the extent of specified disability in a person included under RPwD
Act, 2016 notified by Government of India vide S.O. 76(E) dated 04/01/2018).
The applicant has submitted the following document(s) as proof of residence:
Nature of Document(s): Aadhaar card
National Institute for Locomotor
Disabilities, Bon Hooghly Government
Colony Baranagar, West Bengal
This Card/Certificate is meant to certify the disability of the person and is not an instrument for ID/Address Proof for any purpose.