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Full Name
Samiksha Sachin Utekar

Gender
Female Select Gender Male Female Other

Mobile Number
9422348308

Email Address

Date Of Birth
1990-01-26

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Ratnagiri

Taluka
Khed

PIN Code
415718

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
6464 4645 8430

Business Name
Kirana Dukan

Partner
DOW Chemical International Pvt. Ltd 2 Revolve

Personal Address
A/Po- Kurval Khed Tal-Khed A/Po- Kurval Khed Tal-Khed

Business Address
A/Po- Kurval Khed Tal-Khed A/Po- Kurval Khed Tal-Khed

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
30000

Women Monthly Income
6000

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
431502010049181

Bank Name
Union Bank Of India

IFSC Code
UBIN0543152