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Knowledge Resource Rail Travel Concession Form for the Orthopedically Handicapped Acts in Disability

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Paste passport size Form the purpose of grant of rail concession to orthopedically
Country Reports photograph Duly signed and handicapped/paraplegic persons/ patients to be used by the Disability and Law
stamped by the Issuing Govt. Doctor
Services Law, Courts and the Constitution of
Doctor
Aids & Appliances India

Freelancers This is to certify that Km./ Shri./ Smt. .................................................., whose particulars Disability Law and Access to Rights
are furnished below, is a bonafide deaf and dumb person/patient and CANNOT TRAVEL Directory of Lawyers
Braille Press
WITHOUT THE ASSISTANCE OF AN ESCORT. Before you file a case
Events and Conferences
Employment Opportunities Particulars of the Orthopaedically handicapped/ Paraplegic person/ patient : Disability and Litigation

Disability India Journal Admission in Schools

1. Address :
Reservations in Jobs
Submit Your Research/ Article
2. Father's/ Husband's Name : Reservations in Higher Education
Latest issue of the Journal
Allotment of Benefits
3. Age :
National Institutes Accident Compensation

NIMH NIVH 4. Sex : Legal Aid Cell

NIHH IPH
5. Nature of handicap (To be written by Doctor whether the disability is temporary or
NIOH NIEPMD For free legal aid for persons with
permanent) :
disabilities, their caregivers and
service providers
6. Causes of loss of functional capacity :
Online Legal Aid Cell

7. Signature or Thumb Impression of Orthopaedically handicapped/ Paraplegic person/

patient (not necessary for those whose both hands are missing or non-functional) :

Place :
Signature of Govt. Doctor
Date :

Clear Seal of Govt. Hospital/

Seal Containing full name and Regd. No. of Doctor
Clinic

* Strike out where not applicable Note:

1. The certificate should be issued only to those deaf and dumb persons/ patients WHO
CANNOT TRAVEL WITHOUT THE ASSISTANCE OF AN ESCORT. The photo must be
signed and stamped in such a way that Doctor's signature and stamp appears partly
on the photo and partly on the certificate.

2. In the case of temporary disability, the certificate will be valid for five years from the
date of issue. In the case of permanent disability, the certificate will remain valid for
(1) five years, in case of persons upto the age of 25 years, (2) ten years, in case of
persons in the age group of 26 to 35 yearsw and (3) in the case of persons above the
age of 35 years, the certificate will remain for whole life of the concerned person.
After expiry of the period of validity of the certificate, the person is required to obtain
a free certificate. A photostat copy of this certificate is accepted for the purpose of
grant concession. The original certificate will have to be produced for inspection at the
time of purchase of concessional ticket and during the journey, if demanded.

3. No alteration in the form is permitted.

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