Department of Empowerment of Persons with Disabilities,
Ministry of Social Justice and Empowerment, Government of India
Disability Certificate
Dr. Rustam Narsi Cooper Municipal General Hospital
Bhaktivedanta Marg, Juhu, Vile Parle West
Mumbai Suburban, Maharashtra, 400056
Certificate/UDID No. MH2220920140164332 Date of Issue: 05/07/2025
This is to certify that I/We have carefully examined Akshada Ajit Pawar Daughter of Ajit, Date of Birth 26/03/2014, Gender
Female, Registration No. 2722/00000/2208/0378432, Resident of 47/14, Khot Chal Daruvala Chal , S M Marg Nr Shivsena
Shakha, Takiya Ward Kurla West, Kurla, Mumbai Suburban, Maharashtra - 400070 whose photograph is affixed above, and
I am/we are satisfied that:
(A) She is a case of : Intellectual Disability.
(B) Name of affected body part: Brain.
(C) The diagnosis in her case is Mild Intellectual Disability.
(D) She has 50% (in figure) fifty percent(in words) disability and the nature of certificate is Temporary and
valid till 26/03/2032 as per the guidelines for the purpose of assessing the extent of specified disability in a
person included under the Rights of Persons with Disabilities Act, 2016 notified by Government of India vide
S.O.1338(E) dated 12/03/2024.
Signature / Thumb impression of the Person with Disability:
Dr. Rustam Narsi Cooper Municipal General Hospital
Signature of notified Medical Authority Members: Bhaktivedanta Marg, Juhu, Vile Parle West
Mumbai Suburban, Maharashtra, 400056
This Card/Certificate is meant to certify the disability of the person and is not an instrument for ID/Address Proof for any purpose.