I, Smt./Ms. _________________, date of birth _________________, am ordinarily residing at Village _________________, Taluka _________________, District _________________, within the jurisdiction of the _________________ Gram Panchayat. My mobile number is _________________, and my Aadhaar Number is _________________. The said Aadhaar Number is submitted for the purpose of Aadhaar-based electronic Know Your Customer (e-KYC) verification.
On the basis of the particulars furnished above, I hereby submit this application under Section 5(1) / 6(1) of the Maharashtra Women Farmers Empowerment Act, 2026, for recognition as a Woman Farmer and for obtaining a Woman Farmer Certificate.
I hereby certify that all the information furnished above is true and accurate, and if the said information is found to be false, incorrect or misleading, the entire responsibility thereof shall be mine.
