Deserted Woman Self Declaration
परित्यक्ता स्वयंघोषणापत्र in the format welfare offices accept.
परित्यक्ता असल्याबाबतचे स्वयंघोषणापत्र
मी, श्रीमती , वय वर्षे, राहणार , याद्वारे स्वयंघोषित करते की,
- माझा विवाह श्री. यांच्याशी दिनांक रोजी झाला होता.
- दिनांक पासून माझे पती मला सोडून गेले असून, तेव्हापासून मी त्यांच्यापासून वेगळी राहत आहे.
- सदर कालावधीत त्यांनी माझा किंवा माझ्या अपत्यांचा कोणताही सांभाळ केलेला नाही व कोणतीही आर्थिक मदत दिलेली नाही.
- माझ्यावर अवलंबून असलेल्या अपत्यांची संख्या आहे.
- सदर स्वयंघोषणापत्र या प्रयोजनासाठी देत आहे.
- वरील माहिती खरी व बरोबर असून, ती खोटी आढळल्यास भारतीय कायद्यानुसार होणाऱ्या कारवाईस मी पात्र राहीन.
ठिकाण :
दिनांक :
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अर्जदाराची सही / अंगठा
प्रमाणित करण्यात येते की, वरील नमूद बाबी माझ्या माहितीप्रमाणे खऱ्या आहेत.
ग्रामसेवक / सरपंच यांची सही व शिक्का
What you type stays on this device — it is saved in your browser so you can come back to it, and it is never sent to us.
How to use it
- Fill in the details, including roughly when your husband left and how long you have been living separately.
- Check the page and print it.
- Most welfare offices also want a gram sevak or sarpanch attestation — the block for that is at the bottom.
Questions about this tool
What does parityakta mean?
परित्यक्ता — a woman deserted or abandoned by her husband, living separately without a formal divorce. Several Maharashtra welfare schemes treat this as a distinct category from divorced or widowed.
How long must the separation have been?
Most schemes look for at least a year, and some for longer. The office running the scheme will state its own rule; write the true dates rather than what you think qualifies.
Do I need a court order?
Not for a desertion declaration. Where a divorce has actually been granted, use the decree instead — a court order is stronger evidence than any declaration.
Does this affect my husband legally?
No — this is a statement for your own welfare-scheme application, not a legal claim against him. For anything that affects him legally, such as maintenance or divorce, consult a lawyer or the family court.
Can I also claim maintenance separately?
Yes, that is a different, formal legal process through the family court — this declaration supports a scheme application and does not replace it.
Can I save my progress and finish it later?
Yes — what you type is kept in your own browser as you go, so closing the tab and coming back later restores it without retyping.