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Full Name
Sanjana Sanjay Nirmal

Gender
Female Select Gender Male Female Other

Mobile Number
9860006596

Email Address

Date Of Birth
1989-02-22

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Ratnagiri

Taluka
Chiplun

PIN Code
415605

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
Kunabi

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

Identity Number
9162 5030 2915

Business Name
Halad & Bhajipal Vyavsay

Partner
DOW Chemical International Pvt. Ltd. Revolve

Personal Address
A/P - Harekar wadi, Kamathe, Tal. Chiplun Dist. Ratnagiri A/P - Harekar wadi, Kamathe, Tal. Chiplun Dist. Ratnagiri

Business Address
A/P - Harekar wadi, Kamathe, Tal. Chiplun Dist. Ratnagiri A/P - Harekar wadi, Kamathe, Tal. Chiplun Dist. Ratnagiri

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
Own Select Land Ownership Own Leased Others

Total Number of family
3 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
15000

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
141110110003812

Bank Name
Bank Of India

IFSC Code
BKID0001411