Sample Disability Certificate Format is available for free download in ms word and ms excel. This sample disability certificate template is normally used to get government benefits for disabled children or persons and get jobs in the government sector or in multinational companies.
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Certificate of disability includes the type of disability and cause of disability as evidence with recommendations to perform jobs or any special tasks where the disability doesn’t matter or disturb the performance of a disabled person.
This certificate can be issued by govt departments on a simple letterhead or in printed certificate format. Doctors and Hospitals can also use this format to issue disability certificates or recommend the person get a disability certificate with this template.
GOVERNMENT OF THE __________
SOCIAL WELFARE WOMEN DEVELOPMENT AND BAIT-UL-MAAL
(PROVINCIAL COUNCIL FOR REHABILITATION OF DISABLED PERSONS)
DATED:—————- REG. No. PCRDP:—————-
ASSESSMENT BOARD FOR THE DISABLED PERSONS DISTRICT, LAHORE
- Name: ————— 2. Father’s Name: ——————
- Spouse: ———– 4. NIC/CNIC/NICOP No: —————
- Date of Birth: ————- 6. Type of Disability: ————–
- Qualification: ————– 8. Nature of Disability: ——————
- Cause of Disability: —————
- Permanent Address: —————————————————————————————————-
- Present Address: ——————————————————————————————————–
- Finding of the Board
(i) Fit to Work —– (ii) Not fit to work ——
- Recommendation of the Board
Chairman, Assessment Board
Secretary PCRDP/D.G.S.W or
His Representative District: ————-
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