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Full Name
Pushpa Vijay Nikam

Gender
Female Select Gender Male Female Other

Mobile Number
9545515291

Email Address

Date Of Birth
1983-03-05

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Pune

Taluka
Haveli

PIN Code
412105

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
Hindu Maratha

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

Identity Number
963742771313

Business Name
Tailoring and Floor Mill

Partner
H T Parekh Foundation 1 Revolve

Personal Address
Near Power House Pagade Vasti Charholi Khurd 412105 Near Power House Pagade Vasti Charholi Khurd 412105

Business Address
Near Power House Pagade Vasti Charholi Khurd 412105 Near Power House Pagade Vasti Charholi Khurd 412105

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
30000

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
60421324191

Bank Name
Bank Of Maharashtra

IFSC Code
MAHB0000104