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Application

This document is a registration acknowledgment for Abdul Hameed Malik, a person with a disability, issued by the Department of Empowerment of Persons with Disabilities, Government of India. It includes personal details such as his father's name, date of birth, and contact information, as well as information about his disability, which is classified as a chronic neurological condition due to an accident. The document serves as a proof of registration and does not require a signature.

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advmalikhameed
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72 views1 page

Application

This document is a registration acknowledgment for Abdul Hameed Malik, a person with a disability, issued by the Department of Empowerment of Persons with Disabilities, Government of India. It includes personal details such as his father's name, date of birth, and contact information, as well as information about his disability, which is classified as a chronic neurological condition due to an accident. The document serves as a proof of registration and does not require a signature.

Uploaded by

advmalikhameed
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


Acknowledgement / Resident Copy

Person with Disability Registration

Enrolment No: 01030000025060003827 Enrolment Date: 19/06/2025

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Abdul Hameed Malik अदुल हमीद मिलक
Language
Applicant Father's Name Abdul Khaliq Malik Applicant Mother's Name
Date of Birth 01/12/1989
advmalikhameed@gmail.co
Mobile Number 7006342630 E-Mail Id
m
Gender Male
Relation with PwD
Father
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Abdul Khaliq Malik Caretaker / Attendant / 9906750110
Related Related

Proof of Identity Card (See Instructions)

Identity Proof Aadhaar Card Aadhaar No. ********6105

Address of Correspondence

Address Hundi Noweshera,Hundi


Nowshara
Boniyar Baramulla
Jammu And Kashmir 193122
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? No Disability Type Chronic Neurological Conditions


Disability Due To Accident
Hospital Treating State / UTs Jammu And Kashmir Hospital Treating District Baramulla
Hospital Name Chief Medical Office, Baramulla

For more information please scan the QR code to


visit 'PwD Login'

This is computer generated receipt and does not require any signature.

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