CONCESSION CERTIFICATE Appendix No: 1/13
Paste passport size photograph Form for the purpose of grant of rail concession to duly signed and stamped by completely Blind person be used by a Regd.Medically the issuing doctor/person. Practicion government Doctor/Heads of the Institutions for the Blind recognised by Minis.of Welfare/Govt.of India or Social Welfare Dept.of the concerned State Government. This is to certify that Km./Shri/Smt......................................Whose Particulars are furnished below, is a COMPLETELY BLIND PERSON. Particulars of the completely Blind person: (a) Address:................................................................................................................ (b) Father's/Husband's Name ..................................................................................... (c) Age .............................................. (d) Sex .................................................. (e) Signature or left hand Thumb impression of blind person..................... .......................................................................... (Signature of Regd.Medical Practitioner or Govt. Doctor or Head of the Institution for the blind recognised by M/O Welfare ,Govt.of India or Social welfare Dept.of the concerned State Government.) Place .............................. Date .............................. ................................................................. ....................................................... Clear seal of Government Hospital/Clinic Seal containing full name and or Institution Regd.No. of the certificate issuing Doctor/Person Note : (1) Certificate should be issued only to COMPLETELY BLIND PERSONS. The photo should 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) The Certificate is valid for five years from the date of issue.After expiry period of validity period of the certificate.the person is accepted for the purpose of grant of 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. Register at the dedicated AccessIndia list for discussing accessibility of mobile phones / Tabs on: http://mail.accessindia.org.in/mailman/listinfo/mobile.accessindia_accessindia.org.in Search for old postings at: http://www.mail-archive.com/accessindia@accessindia.org.in/ To unsubscribe send a message to accessindia-requ...@accessindia.org.in with the subject unsubscribe. To change your subscription to digest mode or make any other changes, please visit the list home page at http://accessindia.org.in/mailman/listinfo/accessindia_accessindia.org.in Disclaimer: 1. Contents of the mails, factual, or otherwise, reflect the thinking of the person sending the mail and AI in no way relates itself to its veracity; 2. AI cannot be held liable for any commission/omission based on the mails sent through this mailing list..
