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NO.

Memorandum of Appearance in Person


(S.C.R., Order XIX Rule 9)

IN THE SUPREME COURT OF INDIA

(Appellate Jurisdiction]

Agpeal No. SLS] of. A30.2.3


khwang
(A.B.) (Apellan) Sunanda Dhemenda
Vs.
(ehwang
(C.D.) (Responden) Dhavwevdra oraditla

To
The Registrar,

above-named in this appeal.


Please enter my/our appearance for the respondent

Dated this the \..day .


of .
..2.0..A

(Signature).
Address for Service.
FRON-IV DISABILITY CERTIFICATE
GMERS MEDICAL COLLEGE & HOSPITAL, SOLA, AHMI

(ertilcnte No,: 98739


GMI
Date :0.3 - 06 .- 2016 sola

This Ato Certily hyt Ihuve carehully exanmined Shri/Snt. / Kum khutanc Deefonjali
NOn /wife / daughter of Shrl
Date of Brth 22 07 2000 Age yenrs, ule /female Registration No. 98239
Perancnt resident of llouNe No. Ward/ Village / Street
Stute wlhose
Post Distriet
Photograph is afixed above, andIam certified that :
|AI He /She is n Case of lis /Hr extent of Permanent impairment / disability
bas been evalunted as per guldellnes for the disablity tleked below, and shown nguinst the
relevant disabillty in the table below :
Dinguosts PermaIent
No. Disalbility Aected part
disability
of Body
Loco motor disablity
Low vlslon

3. Blindness

lIenring Impairment
S. Mental retardation
0. Mental-ilness
Guidelines,
her over all permanept physical impairment as per
|BI I. In the light of the above, his / percent
Is in Figures : improve / not likely to improve.
progressive / non-progressive /likely to
2. T'his condition is recomnnended / after years
ReusseSsment of disobility is(i) Not necessaty, or (ii) Is
3, certificate shall be valld till
months, und therefore tlhis
proof of residence :
The appllcant has sulbmltted tlhe followlng document asAuthorlty Issulyg certiflcute
[C] Dute of Issue
Nuture of document
3572. 6502 /2 83
Thumbgi SHosptal
GMRS Melical CoBoe 000. (Gu)
Disab/e/p Sola, Ahxwdátad 380
Signature of Seal of Authorized Sigatory
AADHAAR
3TTR Governent of lia

ll
Inicue ldentification Authority of
lndial
olli5o s Government of ndia
ivai/Enrolment No.: 11l6/35181/01417
To
INFORMATION
Dharmendra Guraditta Khurana Aadhaar is aproof of identity, not of citizenship.
45
To establish identity, authenticate online.
15/022017
Date:
d palash Residency This is electronically generated letter.
sola bhadaj road
near bhadaj lake
Bhadaj
Ahmedabad Bhadaj
Gujarat - 380060
9825552684
Generaticn Aadhaar is valid throughout the country.
Aadhaar willbe helpful in availing Government
0V122014
Date: and Non-Governmenl services in future.
Signatyro Nol Verifled

dH2l llR dai/Your Aadhaar No. :


6877 4378 3282

Covernmeñiiotjndiaä Unique ldentitication Authority ot tndia


Dharmendra Guraditta Khurana 45, 4GTei Iso, HIs à5 Address:
45, palash
ya, lIHISY ls, HISY, bhadaj lake,Residency,
near
sola bhadaj road,
YoH AIl/ DOB: 12/04/1965 HEI4IE, Bhadaj, Ahmedabad,
yu /MALE RId-380060 Gujarat 380060

6877 4378 3282


6877 4378 3282
1047

halp dal.gov.in fwww


www.u ei O/in

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