Disability Certificate Format In Word for Free Download

Sample Disability Certificate Format is available for free download in ms word and ms excel. This sample disability certificate template normally used to get govt benefits for disabled children or persons and to get jobs in govt sector or in multinational companies. Certificate of disability include 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 disable person.

This certificate can be issued by govt departments on simple letter head or printed certificate format. Doctors and Hospitals can also use this per forma to issue disability certificates or can recommend the person to get disability certificate with this per forma.

Disability Certificate Sample

GOVERNMENT OF THE __________

SOCIAL WELFARE WOMEN DEVELOPMENT AND BAIT-UL-MAAL

(PROVINCIAL COUNCIL FOR REHABILITATION OF DISABLED PERSONS)

 

DATED—————-                                                                                     REG. No. PCRDP———————

DISABILITY CERTIFICATE

ASSESSMENT BOURD FOR THE DISABLED PERSONS DISTRICT, LAHORE

 

  1. Name: ——————————————-   2. Father’s Name: ————————————–
  2. Spouse: —————————————–   4. NIC/CNIC/NICOP No: ——————————-
  3. Date of Birth: ———————————-    6. Type of Disability: ———————————–
  4. Qualification: ———————————-    8. Nature of Disability: ——————————–
  5. Cause of Disability: —————————
  6. Permanent Address: —————————————————————————————————
  7. Present Address: ——————————————————————————————————–
  8. Finding of the Board                       (i)            Fit to Work —–                                (ii)           Not fit to work——
  9. Recommendation of the Board

 

(i)                  —————————————————————-

(ii)                —————————————————————-

(iii)               —————————————————————-

Name: ————————————

Chairman, Assessment Board

Secretary PCRDP/D.G.S.W or

His Representative                                                                                  District: ———————————–

 

Disability Certificate Format
Disability Certificate Format

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10 thoughts on “Disability Certificate Format In Word for Free Download”

  1. my right leg burn in childhood I have lost my all figure I can’t long walk and I can’t hard work because my leg is so weak pls issue my handicap certificate and tell me how n where apply pls reply me urgently

  2. Please let me know from where should I get a medical certificate for the mentally retarded for renewal as he has to appear for his exam

  3. I injured in bomb blast in gamy shah blast 2010.i lost my left eye.my both legs were badly injured.. Major surgery of my Stomach.. Now i am alright.. But my both legss have many iron and stone pieces .dats y i cant work hard work.. Can i get disable certificate..

  4. Who is authorized to issue medical certificate to declare a person as disabled person for employment against the quota for disabled persons