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.