No official Railway Board PDF has been traced for this entry yet. The text below was read from the document held in the library.
| Type | Commercial Circular |
|---|---|
| Topic | concessions |
mentally retarded person/ person with visual impairment with total absence of sight/ person with
Concession Certificate for Persons with Disabilities(Divyangjan) Concession certificate form for orthopaedically handicapped/paraplegic person/patients/ mentally retarded person/ person with visual impairment with total absence of sight/ person with hearing and speech impairment totally(both afflictions together in the same person) Paste passport size photograph Duly signed and stamped by the issuing Doctor This is to certify that Km/Shri/Smt. whose particulars are furnished below is a bonafide ORTHOPAEDICALLY HANDICAPPED/ PARAPLEGIC PERSON/ PATIENTS WHO CANNOT TRAVEL WITHOUT THE ASSISTANCE OF AN ESCORT / MENTALLY RETARDED PERSON WHO CANNOT TRAVEL WITHOUT AN ESCORT/ PERSON WITH VISUAL IMPAIREMENT WITH TOTAL ABSENCE OF SIGHT / PERSON WITH HEARING AND SPEECH IMPAIRMENT TOTALLY (BOTH AFFLICTIONS TOGETHER IN THE SAME PERSON)* Particulars: a) Address: b) Father’s/Husband’s Name: c) Ages व. eo - 0) Sex: ee e) Nature of Handicap: (To be written by doctor whether the disability is temporary or permanent). f) Signature or thumb impression of the person seeking concession ( not necessary for those with both hands missing or non-functional): (Signature of Government Doctor#) Place: Date: Clear seal of Government Hospital# Seal containing full name and Registration Number of the Doctor# *Strike out where not applicable. #For PERSON WITH VISUAL IMPAIREMENT WITH TOTAL ABSENCE OF SIGHT, RMP/Head of institution for the blind recognized can also issue certificate for visual impairment(with total absence of sight). 1) The certificate should be issued only to those ORTHOPAEDICALLY HANDICAPPED/ PARAPLEGIC PERSON/ PATIENTS WHO CANNOT TRAVEL WITHOUT THE ASSISTANCE OF AN ESCORT / MENTALLY RETARDED PERSON WHO CANNOT TRAVEL WITHOUT AN ESCORT/ PERSON WITH VISUAL IMPAIREMENT WITH TOTAL ABSENCE OF SIGHT / PERSON WITH HEARING AND SPEECH IMPAIRMENT TOTALLY (BOTH AFFLICTIONS TOGETHER). The photo must be signed and stamped in such a way that doctor’s signature and stamp appears partly on the photo and partly on the certificate. 2) For mentally retarded person/ PERSON WITH VISUAL IMPAIREMENT WITH TOTAL ABSENCE OF SIGHT / PERSON WITH HEARING AND SPEECH IMPAIRMENT TOTALLLY (BOTH AFFLICTIONS TOGETHER), the certificate will be valid for five years from the date of issue. For temporary disability in the case of orthopaedically/ paraplegic persons, the certificate will be valid for 5 years and in case of permanent disability, the certificate will remain valid for (i) five years, in case of persons upto the age of 25 years, (2) ten years, in case of persons in the age group of 26 to 35 years and (3) in case of persons above the age of 35 years, the certificate will retnain valid for whole life of the concerned persons. After expiry of the period of validity of the certificate, the person is required to obtain a fresh certificate. 3) Photocopy of this certificate is accepted for the purpose of grant of concession. The original certificate will have to be produced for. inspection at the time of purchase of concessional ticket and during the journey, if demanded. 4) No alternation in the form is permitted. ः __.C:\Users\Administrator\Desktop\Geetha folder\GEETA\Patients\concessio forms.docx. _ . __. __ दिव्यांगजन के लिए रियायत प्रमाण or moka रूप से aftr विकृति से दिव्यांगजन/अधरंग व्यक्ति/मरीजों/मानसिक रूप से कमजोर carat रूप से दृष्टिहीनता वाले eager रूप से श्रवण और वाक हीन व्यक्ति(एक ही व्यक्ति में दौनों अक्षमताएं एक साथ) के लिए रियाथती प्रमाणपत्र संबंधी फार्म जारी करने वाले डॉक्टर दूवारा विधिवत रूप से हस्ताक्षर किया गया एवं मोहर लगाया हुआ पासपोर्ट आकार का फोटो | चिपकाएं यह प्रमाणित किया जाता है कि कुमारी/श्री/श्रीमती - जिसका विवरण नीचे दिया गया है वास्तव में afte विकृति से दिव्यांग/अधरंग व्यक्ति/मरीज है, जो बिना किसी सहचर की सहायता से यात्रा नहीं कर सकता/मानसिक रूप से कमजोर व्यक्ति है, जो सहचर के बिना यात्रा नहीं कर awa पूर्ण रूप से दृष्टिहीन व्यक्तिहै/ पूर्ण रूप से श्रवण और वाक हीन व्यक्ति है(एक ही व्यक्ति में दोनों अक्षमताएं एक साथ)« विवरण! क) T
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