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Full Name
Nilam Gopal Ambre

Gender
Female Select Gender Male Female Other

Mobile Number
9594019256

Email Address

Date Of Birth
1989-03-31

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Ratnagiri

Taluka
Khed

PIN Code
415605

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
4781 5106 6705

Business Name
Parlor

Partner
DOW Chemical International Pvt. Ltd 2 Revolve

Personal Address
A/P-Sheldi,Varchi Wadi A/P-Sheldi,Varchi Wadi

Business Address
A/P-Sheldi,Varchi Wadi A/P-Sheldi,Varchi 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
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
30000

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
16810100019011

Bank Name
Federal Bank

IFSC Code
FDRL0001681