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Full Name
Anuja jitendra Chavan

Gender
Female Select Gender Male Female Other

Mobile Number
9421105622

Email Address

Date Of Birth
1977-05-08

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

Caste Type
Maratha

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

Identity Number
3610 5844 8219

Business Name
Hotel

Partner
DOW Chemical International Pvt. Ltd. Revolve

Personal Address
At/po- Rampur, Talyachiwadi At/po- Rampur, Talyachiwadi

Business Address
At/po- Rampur, Talyachiwadi At/po- Rampur, Talyachiwadi

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
Own 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
25000

Women Monthly Income
8500

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
148310110003173

Bank Name
Bank Of India

IFSC Code
BKID0001483