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Full Name
Pratibha Gurunath Berde

Gender
Female Select Gender Male Female Other

Mobile Number
7021186120

Email Address

Date Of Birth
1977-02-04

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Mumbai

Taluka
Mumbai

PIN Code
400022

Religion
Hindu Select Religion Hindu Muslim Christian Jain Buddhist Parsi Others

Caste Category
Other backward class (OBC) Select Caste Category General Other backward class (OBC) Scheduled Caste (SC) Scheduled Tribe (ST) Nomadic Tribes (NT) Others

Caste Type
Vaish- Vani

Identify Proof
Aadhar Card Select Identify Proof Aadhar Card PAN Card Voters Card Other

Identity Number
7295 2398 7336

Business Name
Teracota Jweller/Panati Making

Partner
Collective Good Foundation 1 Revolve

Personal Address
Bui-T/62, Room-207, Pratiksha Nagar, Sion, Koliwada Bui-T/62, Room-207, Pratiksha Nagar, Sion, Koliwada

Business Address
Stalls, Jay Shankar Yagnik Road, Sardar Nagar, Sion Stalls, Jay Shankar Yagnik Road, Sardar Nagar, Sion

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
No Select Land Ownership Own Leased Others

Total Number of family
4 Select Number Of Family

Number of Working People
2 Select Number Of Working People 1 2 3 4 5 6 7 8 9 10+

Monthly household income
40000

Women Monthly Income
10000

Seasonable Income
Yes Select Seasonable Income Yes No

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Type Of Account
Saving Select Type Of Account Current Saving

Bank Account Number
027011100005568

Bank Name
Apna Sahakari Bank LTD

IFSC Code
ASBL0000027