Rail Divyang Mitra

Divyang Handicapped Concession
Card Application form

Applicant Name *

Father Name *

Date of Birth *

State *

District *

Tehsil *

Full Address *

Pincode *

Aadhar No *

Mobile No *

Hospital *

Doctor Name *

Doctor Reg. No *

Disability *

Upload JPEG, JPG, PNG file formats in these options

Upload Railway Concession Certificate issued by Hospital under jurisdiction of Kota Division(If issued)
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Upload Permanent Disability Certificate issued by Medical Board/E-Mitra *

Upload Voter Id Card *

Upload Birth Certificate (10th Mark sheet, Driving License, PAN, Birth Certificate, Notarized Affidavit) *

Upload Address Certificate (Aadhar Card, Electricity/Water Bill(Latest up to 3 months), Rashan Card, Voter ID) *

Upload Passport Size Colour Photo of Applicant *

Upload Colour Photo of Disability *

Upload Aadhar Card *

This is certify that I have never applied for Divyang ConcessionCard from any Railway Division over Indian Railways. I am first time applying for this Divyang Concession Card.
में घोषणा करता हूँ कि मेने इससे पूर्व कही भी भारतीय रेलवे में दिव्यांग पहचान पत्र (कार्ड) बनवाने हेतु आवेदन नहीं किया है.

Verify Application

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Divyang Handicapped Concession Card Application form

Divyang Handicapped Concession
Card Application form