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Disability Certificate

This disability certificate certifies that Kshitij Bhatnagar, an 18-year-old male from Ghaziabad, Uttar Pradesh, has been examined and found to have over 40% permanent disability due to specific learning disabilities (SLD). The certificate was issued by the medical authority in Ghaziabad based on examination and is meant to certify his disability status, not serve as an identity document.
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0% found this document useful (0 votes)
1K views1 page

Disability Certificate

This disability certificate certifies that Kshitij Bhatnagar, an 18-year-old male from Ghaziabad, Uttar Pradesh, has been examined and found to have over 40% permanent disability due to specific learning disabilities (SLD). The certificate was issued by the medical authority in Ghaziabad based on examination and is meant to certify his disability status, not serve as an identity document.
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

Disability Certificate
Issuing Medical Authority, Ghaziabad, Uttar Pradesh

Certificate No.: UP0911320040109780 Date: 10/02/2023

This is to certify that I/we have carefully examined Shri Kshitij Bhatnagar, Son of Shri Sudhanshu Bhatnagar, Date
of Birth 01/09/2004, Age 18, Male, Registration No. 0909/00000/2210/0150082, resident of House No. Flat No-809
Vrindavan Greens Appartment, Near Rajnigandha Appartment G.t Road, Sahibabad Ghaziabad -
201005, Sub District Ghaziabad, District Ghaziabad, State / UT Uttar Pradesh, whose photograph is affixed above,
and I am/we are satisfied that:

(A) He is a case of Specific Learning Disabilities


(B) The diagnosis in his case is SLD
(C) He has >40%(in figure) Greater Then Forty percent(in words) Permanent Disability in relation to his Brain as
per the guidelines (Guidelines for the purpose of assessing the extent of specified disability in a person included under
RPwD Act, 2016 notified by Government of India vide S.O. 76(E) dated 04/01/2018).

The applicant has submitted the following document(s) as proof of residence:


Nature of Document(s): Aadhaar card

Signature / Thumb Impression of the Person with Disability

Signatory of notified Medical Authority Member(s)

Issuing Medical Authority, Ghaziabad, Uttar Pradesh

This Card/Certificate is meant to certify the disability of the person and is not an instrument for ID/Address Proof for any purpose.

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