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Full Name
Amita Tulshiram Sakpal

Gender
Female Select Gender Male Female Other

Mobile Number
7875610984

Email Address

Date Of Birth
1994-03-01

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

Caste Type
Bouddha

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

Identity Number
3951 6798 9114

Business Name
Tailoring

Partner
DOW Chemical International Pvt. Ltd 2 Revolve

Personal Address
A/p bhile baouddha wadi A/p bhile baouddha wadi

Business Address
A/p bhile baouddha wadi A/p bhile baouddha wadi

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
No Select Land Ownership Own Leased Others

Total Number of family
9 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
25000

Women Monthly Income
10000

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
377502120000329

Bank Name
Union Bank

IFSC Code
UBIN0537756