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Disability Certificate

The document is a disability certificate issued by the Department of Empowerment of Persons with Disabilities, certifying that Shri Parth Dayabhai Chhelana has been diagnosed with Muscular Dystrophy and has an 80% permanent disability affecting all four limbs. It includes his personal details, registration number, and proof of residence via Aadhaar card. The certificate is not intended for use as ID or address proof.

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97 views1 page

Disability Certificate

The document is a disability certificate issued by the Department of Empowerment of Persons with Disabilities, certifying that Shri Parth Dayabhai Chhelana has been diagnosed with Muscular Dystrophy and has an 80% permanent disability affecting all four limbs. It includes his personal details, registration number, and proof of residence via Aadhaar card. The certificate is not intended for use as ID or address proof.

Uploaded by

kanjikabariya3
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

Disability Certificate
Issuing Medical Authority, Gir Somnath, Gujarat

Certificate No.: GJ3412220120038381 Date: 29/01/2021

This is to certify that I/we have carefully examined Shri Parth Dayabhai Chhelana, Son of Shri Dayabhai, Date of
Birth 06/04/2012, Age 8, Male, Registration No. 2434/00000/1901/1557455, resident of House No. Amodra -
362560, Sub District Una, District Gir Somnath, State / UT Gujarat, whose photograph is affixed above, and I am/we
are satisfied that:

(A) He is a case of Muscular Dystrophy


(B) The diagnosis in his case is MUSCULAR DYSTROPHY .
(C) He has 80%(in figure) Eighty percent(in words) Permanent Disability in relation to his ALL FOUR LIMBS 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

Signature / Thumb Impression of the Person with Disability

Signatory of notified Medical Authority Member(s)

Issuing Medical Authority, Gir Somnath, Gujarat

This Card/Certificate is meant to certify the disability of the person and is not an instrument for ID/Address Proof for any purpose.

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