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Full Name
Samiksha Sanjay Gondhalekar

Gender
Female Select Gender Male Female Other

Mobile Number
7219075928

Email Address

Date Of Birth
1982-02-22

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
SBC Select Caste Category General Other backward class (OBC) Scheduled Caste (SC) Scheduled Tribe (ST) Nomadic Tribes (NT) Others

Caste Type
Sali

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

Identity Number
8032 4376 6306

Business Name
Papad Vyavsay

Partner
DOW Chemical International Pvt. Ltd. Revolve

Personal Address
F-No-301, 3rd Flr Krushnakamal Residency Near Sukai Devi Mandir Pag Chiplun F-No-301, 3rd Flr Krushnakamal Residency Near Sukai Devi Mandir Pag Chiplun

Business Address
F-No-301, 3rd Flr Krushnakamal Residency Near Sukai Devi Mandir Pag Chiplun F-No-301, 3rd Flr Krushnakamal Residency Near Sukai Devi Mandir Pag Chiplun

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

Monthly household income
18000

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
5216924976

Bank Name
Central Bank Of India

IFSC Code
CBIN0282556