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Full Name
Vaibhavi Vinay Dali

Gender
Female Select Gender Male Female Other

Mobile Number
8390291836

Email Address

Date Of Birth
1981-01-04

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Ratnagiri

Taluka
Chiplun

PIN Code
415702

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
Vaishy Vani

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

Identity Number
5163 2835 2259

Business Name
Khadya Padarth Vyavsay

Partner
DOW Chemical International Pvt. Ltd 2 Revolve

Personal Address
A/Po- Umroli Bharadewadi,opp-Natu Hospital Tal-Chiplun, A/Po- Umroli Bharadewadi,opp-Natu Hospital Tal-Chiplun,

Business Address
A/Po- Umroli Bharadewadi,opp-Natu Hospital Tal-Chiplun, A/Po- Umroli Bharadewadi,opp-Natu Hospital Tal-Chiplun,

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
20000

Women Monthly Income
5000

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
68030473114

Bank Name
Bank Of Maharashtra

IFSC Code
MAHB0000511