Sein Department of Empowerment of Persons with Disabilities, Ministry of Social Justice and Empowerment, Government of India Disability Certificate Lok Nayak Hospital Central, Delhi Certificate No.: DL0540419970009667 Dat 10/07/2023 This is to certify that liwe have carefully examined Shri Prashant Dhyani, Son of Shri Ram Prakash Dhyani, Date of Birth 12/08/1997, Age 25, M, Registration No. 0705/00000/2305/0882708, resident of House No. 134/16/2 Gali No 8, Milan Vihar, Sant Nagar Burari - 110084, Sub District Civil Lines, District North, State / UT Delhi, whose photograph is affixed above, and | am/we are satisfied that: (A) He is a case of Hearing Impairment {B) The diagnosis in his case is Profound SNHL right ear with moderate to severe SNHL left ear {C) He has 49% figure) Forty Nine percent(in words) Permanent Disability in relation to his Ear 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.0, 76(E) dated 04/01/2018) ‘The applicant has submitt the following document(s) as proof of residence: Nature of Document(s): Aadhaar card Signature / Thumb Impression of the Person with Disability (usr gat ) baw" Dr. S.N, BASNA. t CacnayasesptaGNGTO Lona ota Ne Signatory of natified Medical Authority Member(s) un ‘This CardiCerticates meant to cory the sail of the person and snot an instrument for DVAdAess Proof or any purpose