Department of Empowerment of Persons with Disabilities,

Ministry of Social Justice and Empowerment, Government of India

Acknowledgement / Resident Copy
Enrolment No : 3328/00000/1711/0466672 Date : 15/11/2017 13:20:32

Name, Address and other details नाम, पता और अय िववरण

Prasad G (Male) PRASAD G (पु ्ष)
Gopala Krishnan P (Father) (िपता)

Varavilai Veedu, Parthivapuram, Puthukkadai Pot, वारिवलै वीडू , पािथवपु रम, पु थु कदे पोट, Arudesam (part),
Arudesam (part), Vilavancode, Kanniyakumari, Tamil Vilavancode, Kanniyakumari, Tamil Nadu - 629171
Nadu - 629171

Date of Birth : 30/06/1991 Mobile : 7904769233

Age : 26 Year(s) Email : pradeepgopalakrishnan6@gmail.com

Address Proof Document : Aadhaar card

ID Proof Document : Aadhaar Card

For enquiry, please contact :

http://www.swavlambancard.gov.in chemdean006@gmail.com MO Address: Government Medical College Hospital, Kanchipuram

This is computer generated receipt and does not require any signature.