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Full Name
Prisha Pratish Chavan

Gender
Female Select Gender Male Female Other

Mobile Number
9022361278

Email Address

Date Of Birth
1995-07-02

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Ratnagiri

Taluka
Chiplun

PIN Code
415604

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
4991 9915 0350

Business Name
Kukkutpalan & Vegetable Vendor

Partner
DOW Chemical International Pvt. Ltd. Revolve

Personal Address
A/p-Moravane Khalchiwadi A/p-Moravane Khalchiwadi

Business Address
A/p-Moravane Khalchiwadi A/p-Moravane Khalchiwadi

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
Own Select Land Ownership Own Leased Others

Total Number of family
2 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
144310110004645

Bank Name
Bank Of India

IFSC Code
BKID0001480