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Full Name
Rina Ravindra Sakpal

Gender
Female Select Gender Male Female Other

Mobile Number
9021381929

Email Address

Date Of Birth
1986-01-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Ratnagiri

Taluka
Chiplun

PIN Code
415701

Religion
Hindu Select Religion Hindu Muslim Christian Jain Buddhist Parsi Others

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

Caste Type
Burud

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

Identity Number
2196 5311 1163

Business Name
Burud vyavsay

Partner
DOW Chemical International Pvt. Ltd 2 Revolve

Personal Address
A/p pachad burud vadi A/p pachad burud vadi

Business Address
A/p pachad burud vadi A/p pachad burud vadi

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
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
60224136098

Bank Name
Bank of Maharashtra

IFSC Code
MAHB0000296