Details of Woman

5. Aadhaar Number. 6. Name*. 7. Date of Birth*. 8. Gender * ☐ Female (Mandatory Checkbox). 9. Age as per Date of Birth *. 10. Proof of Date of Birth * ☐ Birth Certificate ☐ 10th class Marksheet ☐ PAN Card ☐ Passport (Attach a Copy of Date of Birth Proof selected). 11. Select Guardian Type* ☐ Parent(s) ☐ Legal Guardian(s) • (If chosen Parents) Parents Details Mother's Name * Father's Name * • (If chosen Legal Guardians) Legal Guardian's Details Legal Guardian's Name * Legal Guardian's Mobile Number *. 12. Nationality *. • (If Nationality is not Indian) Full Address of the Country of Origin * (Attach Extracts of Passport) *. 13. Religion* ☐ Hinduism ☐ Christianity ☐ Islam ☐ Sikhism ☐ Jainism ☐ Buddhism ☐ Zoroastrianism ☐ Judaism ☐ Atheism ☐ Others • (If chosen Others) Name of Religion *. 14 Category* ☐ General ☐ SC ☐ OBC ☐ Other. 15. Previous Relationship Status * ☐ Never Married ☐ Divorcee ☐ Marriage Annulled ☐ Widow ☐ Terminated Live-in ☐ Live-in Partner Deceased • (If chosen Divorcee/Marriage Annulled) Date of Divorce/Nullity of Marriage • (If Date of Divorce/Nullity of Marriage is before the commencement of the Code) Marriage Dissolved/Nullified through * ☐ Decree of Divorce/Nullity of Marriage ☐ Customary Laws ▪ (If chosen Divorce/Nullity of Marriage) Select proof of Decree of Divorce/Nullity of Marriage * ☐ Judgement Number of Decree of Divorce/Nullity of Marriage ☐ Acknowledgement Certificate Number for Decree of Divorce/Nullity of Marriage (if registered under The Uniform Civil Code, Uttarakhand, 2024) ▪ (If Chosen Judgement Number of Decree of Divorce/Nullity of Marriage) * CNR Number on the Decree of Divorce/Nullity of Marriage Court * Case Number * Case Year * Diary Number (Attach a Copy of Decree of Divorce/Nullity of Marriage) *. ▪ (If Chosen Acknowledgement Certificate Number for Decree of Divorce/ Nullity of Marriage) Acknowledgement Certificate Number * (Attach a Copy of Acknowledgement Certificate of Decree of Divorce/Nullity of Marriage). ▪ (If Chosen Customary Law) Organization that Dissolved/Nullified the Marriage * Address of the Organization that Dissolved/ Nullified the Marriage * (Attach a Documentary Proof of Dissolution/Nullification of Marriage) *. • (If chosen Widow) Death Certificate Number of Husband * (Attach Death Certificate of Husband). • (If chosen Live-in Terminated) • Termination Number of the Live-in Relationship * (Attach Copy of Certificate of Termination of Live-in Relationship). • (If chosen Live-in Partner Deceased) Registration Number of Live-in * (Attach Death Certificate of deceased Male Live-in Partner) *. 16. Mobile Number (Linked with Aadhaar) * +91. 17. Alternate Mobile Number * +91. 18. Email ID. 19. Present Address State * District * Tehsil * Area * ☐ Rural ☐ Urban • (If chosen Rural Area) Block * Gram Panchayat * Village *. • (If chosen Urban Area ) Municipal Area * Nagar Panchayat/Nagar Palika/Nagar Nigam Name of Municipal * Municipal Ward No. *. • PIN Code. • Full Address*. • Landmark *. • Police Station/Patwari Chowki *. 20. Permanent Address Same as Present Address * ☐ Yes ☐ No (If chosen No) State * District * Tehsil * Area * ☐ Rural ☐ Urban • (If chosen Rural Area) Block * Gram Panchayat * Village *. • (If chosen Urban Area ) Municipal Area * Nagar Panchayat/Nagar Palika/Nagar Nigam Name of Municipal * Municipal Ward No. *. • PIN Code. • Full Address*. • Landmark *. • Police Station/Patwari Chowki *