1-Name:
KHURAM
SHAHZAD
2-Father's/ Spouse's Name:
ZULFIQAR ALI
3-Marital Status:
Married
4-NIC/CNIC/B-Form/
NICOP NO:
NICOP NO:
3550201924517
5-Date of Birth:
05-05-1992
6-Type of Disability:
Physically Impaired (Musculoskeletal)
7-Qualification:
5 years
8-Nature of Disability:
Permanent-Severe
9-Cause of Disability:
Post Polio Limb Weakness-Paralysis
10-Permanent Address:
MOHALLAH AWAIS COLONY WARD 13 SHAHKOT DIST NANKANA SAHIB
11-Present Address:
MOHALLAH AWAIS COLONY WARD 13 SHAHKOT DIST NANKANA SAHIB
12-Recommendation of the Board:
(I)-Fit To Work : Yes
13-If Fit to Work: Specify;
(I) Job: NA
(II) Training: NIL
(II) Training: NIL
14-Other Recommendations:
(I) Prosthesis: Lower limb
(II) Protective Equipment: Wheelchairs, manual for active use
(III) Medical Treatment: REHABILITATION
(II) Protective Equipment: Wheelchairs, manual for active use
(III) Medical Treatment: REHABILITATION
Deputy Director Social Welfare/
Secretary Disability Assessment Board
District ( Nankana Sahib )
Secretary Disability Assessment Board
District ( Nankana Sahib )
Medical Superintendent( THQ ShahKot
)/
Chairman Disability Assessment Board
District ( Nankana Sahib )
Chairman Disability Assessment Board
District ( Nankana Sahib )
This Certificate has been Generated by MIS, therefore no signature is required & this certificate can be
verified at (dpmis.punjab.gov.pk)