1-Name:
Muhammad
Shaban
2-Father's/ Spouse's Name:
Muhammad Hussain
3-Marital Status:
Single
4-NIC/CNIC/B-Form/
NICOP NO:
NICOP NO:
3630291953945
5-Date of Birth:
01-07-2004
6-Type of Disability:
Physically Impaired (Neuromuscular)
7-Qualification:
None
8-Nature of Disability:
Severe
9-Cause of Disability:
Cerebral palsy
10-Permanent Address:
Hassanabad Gate No.2 Khanewal Road Muhallah Muhammadi Multan
11-Present Address:
Hassanabad Gate No.2 Khanewal Road Muhallah Muhammadi Multan
12-Recommendation of the Board:
(I)-Fit To Work : No
13-If Fit to Work: Specify;
(I) Job:
(II) Training:
(II) Training:
14-Other Recommendations:
(I) Prosthesis: Orthetic devices
(II) Protective Equipment: Wheelchairs, manual for active use
(III) Medical Treatment: nil
(II) Protective Equipment: Wheelchairs, manual for active use
(III) Medical Treatment: nil
Deputy Director Social Welfare/
Secretary Disability Assessment Board
District ( Multan )
Secretary Disability Assessment Board
District ( Multan )
Medical Superintendent( DHQ Multan
)/
Chairman Disability Assessment Board
District ( Multan )
Chairman Disability Assessment Board
District ( Multan )
This Certificate has been Generated by MIS, therefore no signature is required & this certificate can be
verified at (dpmis.punjab.gov.pk)