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Disability Registration Receipt for Kaushal Patel

This document is a registration acknowledgment for Kaushal Patel, a person with a locomotor disability, issued by the Department of Empowerment of Persons with Disabilities, Government of India. It includes personal details, contact information, and disability specifics, indicating that the applicant does not have a disability certificate. The document is generated automatically and does not require a signature.

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117 views2 pages

Disability Registration Receipt for Kaushal Patel

This document is a registration acknowledgment for Kaushal Patel, a person with a locomotor disability, issued by the Department of Empowerment of Persons with Disabilities, Government of India. It includes personal details, contact information, and disability specifics, indicating that the applicant does not have a disability certificate. The document is generated automatically and does not require a signature.

Uploaded by

pbhim9981
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: 091870000025020007402 Enrolment Date: 10/02/2025

PERSONAL DETAILS

Full Name in Regional


Name of Applicant Kaushal Patel कौशल पटे ल
Language
Applicant Father's Name Satya Narayan Patel Applicant Mother's Name
Date of Birth 04/05/1995
Mobile Number 9616883585 E-Mail Id
Gender Male Category
Relation with PwD
Blood Group Father
(Person with Disability)
Name of Guardian / Contact No. of Guardian /
Caretaker / Attendant / Satya Narayan Patel Caretaker / Attendant / 9616883585
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. ********6443

Address of Correspondence

Address Vill And Post Sarauni Thana


Jansa Varanasi Up
221302,Arajiline
Rajatalab Varanasi
Uttar Pradesh 221302
Nature of Document Aadhaar card
for Address Proof

DISABILITY DETAILS

Do you have disability certificate? No Disability Type Locomotor Disability


Disability Due To Accident
Hospital Treating State / UTs Uttar Pradesh Hospital Treating District Varanasi
Pandit Deen Dayal Upadhyaya District Hospital, Orderly
Hospital Name
Bazar

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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