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The document is a registration acknowledgment for Amaan Ahmed, a person with a locomotor disability, issued by the Department of Empowerment of Persons with Disabilities in India. It includes personal details such as his date of birth, contact information, and guardian details, along with the absence of a disability certificate. The document also provides information about the hospital treating him and his address in Uttar Pradesh.

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Amaan Ahmed
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45 views2 pages

Application

The document is a registration acknowledgment for Amaan Ahmed, a person with a locomotor disability, issued by the Department of Empowerment of Persons with Disabilities in India. It includes personal details such as his date of birth, contact information, and guardian details, along with the absence of a disability certificate. The document also provides information about the hospital treating him and his address in Uttar Pradesh.

Uploaded by

Amaan Ahmed
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: 091230000025010011191 Enrolment Date: 20/01/2025

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Amaan Ahmed अमान अहमद
Language
Applicant Father's Name Mohd Ajmal Applicant Mother's Name
Date of Birth 14/11/1999
Mobile Number 9807842421 E-Mail Id
Gender Male Category
Relation with PwD
Blood Group Father
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Mohd Ajmal Caretaker / Attendant / 9807842421
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. ********4147

Address of Correspondence

Address Vill- Jahiruddinpur, Po- Sagari,


Ps- Sagari,
Sagri Azamgarh
Uttar Pradesh 276138
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? No Disability Type Locomotor Disability


Disability Due To
Hospital Treating State / UTs Uttar Pradesh Hospital Treating District Azamgarh
Hospital Name Divisional District Hospital, Azamgarh

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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