Department of Empowerment of Persons with Disabilities,
Ministry of Social Justice and Empowerment, Government of India
Disability Certificate
Issuing Medical Authority, Aligarh, Uttar Pradesh
Certificate No.: UP1220619790208313 Date: 05/08/2022
This is to certify that I/we have carefully examined Shri Bhupendra Sharma, Son of Shri Madan Lal Sharma, Date of
Birth 01/05/1979, Age 43, Male, Registration No. 0912/00000/2208/0035572, resident of House No. Ram Pyari
Puram Colony Melrose By Pass, Road Near Ganga Farm House - 202001, Sub District Koil, District
Aligarh, State / UT Uttar Pradesh, whose photograph is affixed above, and I am/we are satisfied that:
(A) He is a case of Locomotor Disability
(B) The diagnosis in his case is PPRP Right Lower Limb
(C) He has 50%(in figure) Fifty percent(in words) Permanent Disability in relation to his 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, Aligarh, Uttar Pradesh
This Card/Certificate is meant to certify the disability of the person and is not an instrument for ID/Address Proof for any purpose.