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Full Name
Varsha Rajendra Chavan

Gender
Female Select Gender Male Female Other

Mobile Number
7588482583

Email Address

Date Of Birth
1973-10-20

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
5022 5531 2732

Business Name
Phenyl & Hand wash Business

Partner
DOW Chemical International Pvt. Ltd. Revolve

Personal Address
At/Po- Rampur Talegaon Near Shree Hospital Tal- Chiplun At/Po- Rampur Talegaon Near Shree Hospital Tal- Chiplun

Business Address
At/Po- Rampur Talegaon Near Shree Hospital Tal- Chiplun At/Po- Rampur Talegaon Near Shree Hospital Tal- Chiplun

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
20000

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
148310110003011

Bank Name
Bank of India

IFSC Code
BKID0001483