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Full Name
Divyata Vinayak Bhosale

Gender
Female Select Gender Male Female Other

Mobile Number
9403530657

Email Address

Date Of Birth
1999-06-03

Marital Status
Single 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
2197 7807 9793

Business Name
Kukkutpalan

Partner
DOW Chemical International Pvt. Ltd 2 Revolve

Personal Address
A/P-Kurval Javali A/P-Kurval Javali

Business Address
A/P-Kurval Javali A/P-Kurval Javali

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
No Select Land Ownership Own Leased Others

Total Number of family
4 Select Number Of Family

Number of Working People
3 Select Number Of Working People 1 2 3 4 5 6 7 8 9 10+

Monthly household income
20000

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
1202006102182

Bank Name
RDCC Bank Ltd

IFSC Code
UBIN0543152