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Department of Empowerment of Persons with Disabilities,

Ministry of Social Justice and Empowerment, Government of India


Acknowledgement / Resident Copy
Enrolment No : 0933/00000/2403/0124193 Date : 03/03/2024 07:46:52

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


Ram Sajeevan ( Male ) राम सजीवन (पु ्ष )
Raghuraj (Father)

Koriyan Purvi Koriyan, Ghatampur , Kanpur Nagar, Uttar -----------------------------------


Pradesh - 209206

Date of Birth : 01/01/1976 Mobile : 7388753773


Age : 48 Year(s) Email : ram1232sajivan@gmail.com

Address Proof Document : Aadhaar card


ID Proof Document : Aadhaar Card

For enquiry, please contact :


https://www.swavlambancard.gov.in 1) - cmoknp@up.nic.in 1) - 0512 2311867 Medical Authority Address: 1) - Chief Medical
Officer

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

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