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Certificate

The document is a disability certificate issued by the Department of Empowerment of Persons with Disabilities, certifying that Shri Dasan P V has a locomotor disability due to post-polio residual paralysis in his left lower limb, with a permanent disability of 40%. The certificate includes his personal details and confirms that he has provided an Aadhaar card as proof of residence. It is noted that this certificate is solely for certifying disability and not for identification or address proof purposes.

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76 views1 page

Certificate

The document is a disability certificate issued by the Department of Empowerment of Persons with Disabilities, certifying that Shri Dasan P V has a locomotor disability due to post-polio residual paralysis in his left lower limb, with a permanent disability of 40%. The certificate includes his personal details and confirms that he has provided an Aadhaar card as proof of residence. It is noted that this certificate is solely for certifying disability and not for identification or address proof purposes.

Uploaded by

dasanpvtanur50
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
Dmo Office Malappuram, Malappuram, Kerala

Certificate No.: KL0550619570382663 Date: 26/09/2023

This is to certify that I/We have carefully examined Shri Dasan P V Son of Shri Kelu, Date of Birth
25/10/1957, Male, Registration No. 3205/00000/2309/1439329, resident of Puthen Veettil House, Kattilangadi -
676302, Sub District Tirur, District Malappuram, State / UT Kerala
Whose photograph is affixed above, and I/We satisfied that:
(A) He is a case of Locomotor Disability
(B) The diagnosis in his case is POST POLIO RESIDUAL PARALYSIS LEFT LOWER LIMB
(C) He has 40% (in figure) Forty percent(in words) Permanent Disability in relation to his LEFT LOWER LIMB 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

Signature of notified Medical Authority Member

Dmo Office Malappuram


Malappuram, Kerala

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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