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Certificate

The document is a disability certificate issued by the Chief Medical Officer of Kanpur Nagar, certifying that Shri Ashish Kumar Nigam has a locomotor disability due to a right femur fracture and muscle weakness in the right lower limb, resulting in 50% permanent disability. It includes his personal details, the nature of his disability, and the documents submitted for proof of residence. The certificate is not intended for use as ID or address proof.

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30 views1 page

Certificate

The document is a disability certificate issued by the Chief Medical Officer of Kanpur Nagar, certifying that Shri Ashish Kumar Nigam has a locomotor disability due to a right femur fracture and muscle weakness in the right lower limb, resulting in 50% permanent disability. It includes his personal details, the nature of his disability, and the documents submitted for proof of residence. The certificate is not intended for use as ID or address proof.

Uploaded by

xmartyabhisingh
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

Disability Certificate
Chief Medical Officer, Kanpur Nagar, Kanpur Nagar, Uttar Pradesh

Certificate No.: UP3320619940055572 Date: 17/08/2019

This is to certify that I/We have carefully examined Shri Ashish Kumar Nigam Son of Shri Susheel Nigam, Date of
Birth 09/11/1994, Male, Registration No. 0933/00000/1802/0810727, resident of 64 Karrhi Pragyan Inter
College Kanpur Nagar - 208022, Sub District Kanpur, District Kanpur Nagar, State / UT Uttar Pradesh
Whose photograph is affixed above, and I/We satisfied that:
(A) He is a case of Locomotor Disability
(B) The diagnosis in his case is FRACTURE RIGHT FEMUR WITH KNEE WITH MUSCLE WEAKNESS RIGHT LOWER
LIMB 50
(C) He has 50% (in figure) Fifty percent(in words) Permanent Disability in relation to his RIGHT LEG 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

Signature of notified Medical Authority Member

Chief Medical Officer, Kanpur Nagar


Kanpur Nagar, 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.

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