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    shafeeqahmadawan
    This document provides details of a person with disability registration for an individual named Shafiq Ahmad Awan. It includes personal details like name, address, disability type and other medical details. The document is a computer generated receipt that acknowledges an individual's registration as a person with a disability.

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    Application

    Uploaded by

    shafeeqahmadawan
    4 views2 pages
    This document provides details of a person with disability registration for an individual named Shafiq Ahmad Awan. It includes personal details like name, address, disability type and other medical details. The document is a computer generated receipt that acknowledges an individual's registration as a person with a disability.

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    © © All Rights Reserved

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    This document provides details of a person with disability registration for an individual named Shafiq Ahmad Awan. It includes personal details like name, address, disability type and other medical details. The document is a computer generated receipt that acknowledges an individual's registration as a person with a disability.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    4 views2 pages

    Application

    Uploaded by

    shafeeqahmadawan
    This document provides details of a person with disability registration for an individual named Shafiq Ahmad Awan. It includes personal details like name, address, disability type and other medical details. The document is a computer generated receipt that acknowledges an individual's registration as a person with a disability.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    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: 0101/00000/2404/0973785 Enrolment Date: 28/04/2024

    PERSONAL DETAILS

    Name of Applicant Shafiq Ahmad Awan ‫درﺧﻮاﺳﺖ ﮔﺰار ﮐﺎ ﻧﺎم‬ ‫ﺷﻔﯿﻖ اﺣﻤﺪ اﻋﻮن‬

    Applicant Father's Name Syed Alam Awan Applicant Mother's Name Noorjaan

    Date of Birth 16/01/1973 Age 51 Year(s)

    shafeeqahmadawan@gmail.
    Mobile Number 9596512085 E-Mail Id
    com

    Gender Male Category ST

    Relation with PwD


    Blood Group O+ Self
    (Person with Disability)

    Name of Guardian / Contact No. of Guardian /


    Caretaker / Attendant / Waqar Awan Caretaker / Attendant / 7051827181
    Related Related

    Optional Details

    Personal Income (Annual) --------- Highest Qualification ---------


    Employed or Unemployed ---------

    Proof of Identity Card (See Instructions)

    Identity Proof Aadhaar Card Aadhaar No. 728002123762

    Address of Correspondence

    Address Nawagabra Karnah, Nowangabra (ct), Karnah, Kupwara, Jammu And Kashmir - 190018
    Nature of Document for Aadhaar Card
    Address Proof

    DISABILITY DETAILS

    Do you have disability certificate? Yes Disability Type Locomotor Disability


    Disability certificate uploaded? Yes Sr. No. / Registration No. of Certificate 272/CRC/15/07/2015/67457
    Date of Issuance of Certificate 15/07/2015 Details of Issuing Authority Medical Authority
    Disability Percentage 90%
    Disability Area ---------
    Disability Due To Accident
    Hospital Treating State / UTs JAMMU AND KASHMIR Hospital Treating District KUPWARA
    Hospital Name SDH Kupwara
    This is computer generated receipt and does not require any signature.

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