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Sonali Disability

The document is a disability certificate issued to Kum. Sonali Mudi, confirming her hearing impairment with a severity of 71%. It includes her personal details, the medical authority's certification, and the unique disability ID. The certificate is valid as of May 4, 2023, and serves to certify her disability status, not as a form of identification or address proof.

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Sasmita Sahoo
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88 views2 pages

Sonali Disability

The document is a disability certificate issued to Kum. Sonali Mudi, confirming her hearing impairment with a severity of 71%. It includes her personal details, the medical authority's certification, and the unique disability ID. The certificate is valid as of May 4, 2023, and serves to certify her disability status, not as a form of identification or address proof.

Uploaded by

Sasmita Sahoo
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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<br>

Department of Empowerment of Persons with Disabilities,


Ministry of Social Justice and Empowerment, Government of India

Disability Certificate
Issuing Medical Authority, Kendujhar, Odisha

Certificate No.: OD0610420060142987


Date: 04/05/2023
This is to certify that I/we have carefully examined Kum.
Sonali Mudi, Daughter of Shri Purna Chandra Mudi, Date
of Birth 22/03/2006, Age 17, Female, Registration No.
2106/00000/2111/1095189, resident of House No. At
Rengalabeda, Po- Chilida, Via/ps- Turumunga -758046, Sub District Turumunga, District
Odisha, whose photograph is affixed above, and Iam/we are satisfied that: Kendujhar, State /UT

(A) She is a case of Hearing Impairment


(B) The diagnosis in her case is Bilateral severe
S.N.H.L.
(C) She has 71%(in figure) Seventy One percent(in words)
per the guidelines (Guidelines for Permanent Disability in relation to her BOTH EARS as
the purpose of assessing the extent of specified disability in a person included
RPwD Act, 2016 notified by Government
of India vide S.0. 76(E) dated 04/01/2018).
under

The applicant has submitted the following document(s) as proof


of residence:
Nature of Document(s): Aadhaar card

Sonali mudi
Signature / Thumb Impression of the Person with Disability

E.N.T. Specialist,
Dist.Hd.Qrs. Hospital,
Keonjhar posted
Under D.M.Fund.

Signatory of notified Medical Authority Member(s)

(De. Kishore Kumar Pruity)


iet District Medical S&
Pbllc Health Officer,
Keonjhar.
Issuing Medical Authority, Kendujhar, Odisha

This Card/Certificate is meant to certify the disablity of the person and is not an lInstrument for ID/Address Proof for any purpose.
<br>

UNIQUE DISABILITY ID
Government of India

H/Name
Sonali Mudi
UD ID
ODO610420060142987
Disabllty Type
Hearing Impairment

Year of Birth % of Disablllty


2006 71% (Seventy One Percent)
Date of Issue Valid,upto
Permanent Issuing Authority Sign
04/05/2023
0000424558

UNIQUE DISABILITYID
Government of India

STATE.ID:
NJA

Aadhaår
NJA
ojahes.
h

Address of the Card issuing Authority State/District


level
Keonjhargárh Dist: Hqrs, Hospitai Kendujhar,
Kendujhar, Odisha;: 758001

O000424558

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