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    Ramashanker Yadav
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    This certificate from PDU Medical College & Hospital in Rajkot, India certifies an individual's mental retardation for the purpose of obtaining government benefits. It provides the person's name, age, sex, and categorization of mental retardation as mild, moderate, severe or profound. The certificate is signed by a psychiatrist, pediatrician, clinical psychologist, and the medical superintendent and is considered permanent and valid. An attached table further defines the categories of mental retardation based on mental age, IQ scores, and assigned disability percentage.

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    This certificate from PDU Medical College & Hospital in Rajkot, India certifies an individual's mental retardation for the purpose of obtaining government benefits. It provides the person's name, age, sex, and categorization of mental retardation as mild, moderate, severe or profound. The certificate is signed by a psychiatrist, pediatrician, clinical psychologist, and the medical superintendent and is considered permanent and valid. An attached table further defines the categories of mental retardation based on mental age, IQ scores, and assigned disability percentage.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    27 views1 page

    MR Certificate

    Uploaded by

    Ramashanker Yadav
    This certificate from PDU Medical College & Hospital in Rajkot, India certifies an individual's mental retardation for the purpose of obtaining government benefits. It provides the person's name, age, sex, and categorization of mental retardation as mild, moderate, severe or profound. The certificate is signed by a psychiatrist, pediatrician, clinical psychologist, and the medical superintendent and is considered permanent and valid. An attached table further defines the categories of mental retardation based on mental age, IQ scores, and assigned disability percentage.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    PDU Medical College & Hospital, Rajkot.

    Certificate of Mental Retardation For Government Benefits


    (Based on the RCI Guidelines)

    Certificate No :___________________ MRD No : ___________________ Date : ___ /___/____

    This is to certify that Sri / Smt / Kum _______________________________________________


    Son / Daughter of ______________________of Village / Town/ City______________________
    With particulars given below:-

    (a)Age: - __________
    (b) Sex: - Male/Female
    (c) Signature/Thumb Impression:- _________________

    *Categorization of Mental Retardation: Mild / Moderate / Severe / Profound

    Validity of the Certificate: Permanent

    Recent Attested
    Photograph

    Member Member Secretary Chairman


    Psychiatrist / Pediatrician / RMO – Class I Medical Superintendent / CDMO
    Clinical Psychologist

    *Categorization of Mental Retardation. (As per Rehabilitation Council of India Guidelines.)

    Mental Age Category IQ Disability Percentage


    79 > 12 Yrs Borderline 70 25 %
    9-12 Yrs Mild 50-69 50 %
    6-9 Yrs Moderate 35-49 75 %
    3-6Yrs Severe 20-34 90 %
    < 3 Yrs Profound < 20 100 %

    This certificate is issued by district disability board or Disability board of Government Medical Colleges of Gujarat.

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