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———————
ASSESSMENT BOURD 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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