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: 274820000025030003320 Enrolment Date: 05/03/2025
PERSONAL DETAILS
Full Name in Regional
Name of Applicant Lilavati Banshilal Kori िललावती बशीलाल कोरी
Language
Applicant Father's Name Applicant Mother's Name
Date of Birth 01/01/1984
Mobile Number 7666055373 E-Mail Id
Gender Female Category
Relation with PwD
Blood Group Husband
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Banshilal Kori Caretaker / Attendant / 9167934325
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. ********8809
Address of Correspondence
Address Room No - B/2, Rewa Fort
Colony, Sion Bandra Link Road,
Opp Ongc Complex, Kala Killa,
Dharavi,
Mumbai
Maharashtra 400017
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 Maharashtra Hospital Treating District Mumbai
Sir Jamshedjee Jeejeebhoy (JJ) Group of Hospitals &
Hospital Name
Grant Government Medical College, Mumbai
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This is computer generated receipt and does not require any signature.
