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Full Name
Ujwala Dilip Gudhekar

Gender
Female Select Gender Male Female Other

Mobile Number
8830744596

Email Address

Date Of Birth
1974-02-12

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Ratnagiri

Taluka
Chiplun

PIN Code
415701

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
Kumbhar

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

Identity Number
6118 4434 6181

Business Name
Kukkutpalan

Partner
DOW Chemical International Pvt. Ltd 2 Revolve

Personal Address
A/p kumbharvadi miravane A/p kumbharvadi miravane

Business Address
A/p kumbharvadi miravane A/p kumbharvadi miravane

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
30000

Women Monthly Income
7000

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
148310110008117

Bank Name
Bank of India

IFSC Code
BKID0001483