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The document is a registration acknowledgment for Rushikesh Nandu Kamble, a person with a disability, issued by the Department of Empowerment of Persons with Disabilities in India. It includes personal details such as date of birth, contact information, and disability type, which is categorized as an acid attack victim. The document also provides information regarding the guardian and the hospital treating the individual.

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rushikeahkamble7498
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16 views2 pages

Application

The document is a registration acknowledgment for Rushikesh Nandu Kamble, a person with a disability, issued by the Department of Empowerment of Persons with Disabilities in India. It includes personal details such as date of birth, contact information, and disability type, which is categorized as an acid attack victim. The document also provides information regarding the guardian and the hospital treating the individual.

Uploaded by

rushikeahkamble7498
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
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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: 274790000025040003734 Enrolment Date: 06/04/2025

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Rushikesh Nandu Kamble िशकेश नं द ू कंबळे
Language
Applicant Father's Name Applicant Mother's Name Chandrkala
Date of Birth 07/08/2007
rushikeshkamble7498@gma
Mobile Number 9767182500 E-Mail Id
il.com
Gender Male Category
Relation with PwD
Blood Group Mother
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Chandrkala Caretaker / Attendant / 7249827500
Related Related

Optional Details

Personal Income (Annual) 0 Highest Qualification


Employed or Unemployed

Proof of Identity Card (See Instructions)

Identity Proof Aadhaar Card Aadhaar No. ********0761

Address of Correspondence

Address Javkheda Khurdh Madhinagr


Zpp School ,Bhokardan
Bhokardan Jalna
Maharashtra 431213
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? No Disability Type Acid Attack Victim


Disability Due To
Hospital Treating State / UTs Maharashtra Hospital Treating District Jalna
Hospital Name Rural Hospital, Badnapur

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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