Citizen Resource Information Department (CRID) BRAT SRA Tea TT 61072021 Ghar ar§ft: SLDCI391 Rie arte 2:50:05 PM. afeararar: : CHATTAR fra SSI: ‘atareé : SINGH FARIDABAD FARIDABAD MC Ward 29 al: H.NO 983/2 STREET NO. 1,, BHOOR COLONY, OLD FARIDABAD. ‘ Father Mother se ‘Aazeal = Name Rather Metber pop | Relation HE | Age | Mobile Number | Aadhar Occepation Cate Satvinder ‘Singh CHATTAR | JOGINDER | waftzr SINGH KAUR | yo02i977| son | 44 | xo000cK6760 | 300K. | 0 peace atfiec ate fae CHATTAR DHARAM 200K. SINGH SINGH SELF | 73 | xx@000%K6760 |3000K-| 30000 | PensionerRetied GEN N uae ua fis a | Rajyinder ‘Kaur CHATTAR | JOGINDER cotter SINGH KAUR | oyeais7i | pauctiTER | 50 | x0000cK6760 |X| 0 | Unemployed GEN) eat Rie attire | | 7551 2 1 L Showing I to 3 of 3 entries Thereby give my consent to share Aadhar with Government of Haryana. There by declare that above details are true and correct to the best of my knowledge Chatter So Applicant Signature Scanned with CamScannerCitizen Resource Information Department (CRID) than aan wear oF 6/9/2021 3:33:47 afters M args: 11AZ4882 Rie arto PM afearsrart: ; ‘GURDEV ‘Bret GINURT: fared: ‘SINGH FARIDABAD FARIDABAD MC ‘Ward 27, Yat: H.NO.833-A Sector 29 FARIDABAD Father | sjotner Na se ‘Anoual ‘ * Name PHF | ote Name | DOB | Reto HL | Age | MobleNamber | Achar | Fhtmy | Oecepation CO) oyun KomalPret | Kae GURDEV RAJVINDER | 2000 | areata SINGH KAUR | 28/042006/] DAUGHTER | 15 | x2000CKHOHI / 200K. | Student GEN) N ae ayaa fie | wafterate 7162 | Jnodeed Gyapey | RAIVINDER soo | ceme SINGH | KAUR | 25001] son | 19 | 20000KK8041 | 2000-0 Sndent | GEN) N Te FER | aerate 317 | GuRDEV | CHATIAR | socmDER | 200%. Prive | SINGH. SINGH | KAUR | 19oais71| SELF | $0 | xxXGOKKBO4I | 200CK- | 1000000 Sector GEN] N apea ie | oem fie | sitiar at 1901 | Employes | | fide | | | | Rajvinder MANGAL | KULVANT 200%. | after SINGH KAUR | 10/12/1974 ‘WIFE 46 | XXOOKXXBOHT | XOX 0 Housewife | GEN | N ae aR | yea 9637 ; | Showing Ito 4 of 4 entries I hereby give my consent to share Andhar with Government of Haryana, here by declare that above details are true and correct to the best of my knowledge wr Applicant Signature Scanned with CamScannerEES POC SINE Sea ate od AY ete 1890 eA 4a 8 nes ara } ate afsarea (sa01 nits} ara bong _ Agra dynes ~ , fasrorate. ae FUSS. TRACES a Rea ru Pe Gowrie, t [omteens wal yh aes” 4 , Scanned with CamScanner(Form-II) DISABILITY CERTIFICATE f (In case of Multiple Disability) | (NAME AND. ADDRESS OF THE MEDICAL AUTHORITY ISSUING THE CERTIFI CARRE OFFICE OF CIVIL SURGEON FARIDABAD Aga eee Rules) Date of Binh C2.09.-F1__Age ph, Years, Male/Female Js, _ Registration No. A ho. r 492 Gaz We Shor Permanent Resident Address _{. [Vio Wary Ab saph is affixed above, and are, satisfied that: whose | ~———(a) He/She is a Case of MULTIPLE DISABILITIES. Hisher extent of permanent physics! '~pairmentédisability has been evaluated as per guidelines | (to be specified) for the disabilities ticked below cher relevant disability in the table below: Sr. No.| Disability Affected Part of Body Disability (in%) 1 Locomotor Disability @ 2 Low Vision # 1 3 Blindness Both Eyes 4 | Hearing Impairment £ 5 Mental Retardation x \ 1 Lg SDP, Hi ddnfis | Sr. Cesta) 6 Mental Illness x - r ‘7 jrment as per guidelines (to be specified), is as follows: () Inthe light ofthe above, hiner overall permanent Physical ipa In figures : &®. Percent * @=exg, LeftRighvBothlarms/legs In Words : IA. h __ Percent + # =e. single eye / Both eyes Scanned with CamScanner2) The condition is progressive / Non-progressive / likely to improve / not likely o improve. 3) Reassessment of disability : LAF NotNecessary Or ji) Is reéommended /after_* Years ‘months and therefor this certificate shall be valid / @D) ‘aM ay ‘ill 4) The applicant has submitted the following documents as per proof residence : Nature of Document Date of Issue Details of authority issuing certificate febeu Cosa apes ‘ye my L spl] ‘Signature/Thumb impression of the person in whose certificate is issued. 5) Signature and Seal of the Medical Authority ogee’ vocal TT BK. Gene! Princinai Medical Office §,K, General rosptl EUPEREND ‘Name and seal of member ‘Name and. ws errs A dee < Scanned with CamScanner