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Full Name
LAXMI AJIT GULIG

Gender
Female Select Gender Male Female Other

Mobile Number
91725119142

Email Address

Date Of Birth
1999-10-10

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Solapur

Taluka
SANGOLA

PIN Code
413314

Religion
Hindu Select Religion Hindu Muslim Christian Jain Buddhist Parsi Others

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

Caste Type
HOLAR

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

Identity Number
902577842893

Business Name
CLOTH SHOP

Partner
Collective Good Foundation 2 Revolve

Personal Address
GOUDWADI GOUDWADI

Business Address
GOUDWADI GOUDWADI

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
Own Select Land Ownership Own Leased Others

Total Number of family
5 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
23000

Women Monthly Income
8000

Seasonable Income
No Select Seasonable Income Yes No

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Type Of Account
Saving Select Type Of Account Current Saving

Bank Account Number
36148437413

Bank Name
STATE BANK OF INDIA

IFSC Code
SBIN0003738