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Full Name
Pooja Rajesh Lolam

Gender
Female Select Gender Male Female Other

Mobile Number
7378969320

Email Address

Date Of Birth
1976-01-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Ratnagiri

Taluka
Chiplun

PIN Code
415628

Religion
Hindu Select Religion Hindu Muslim Christian Jain Buddhist Parsi Others

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

Caste Type
Kunabi

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

Identity Number
5176 4708 5359

Business Name
Bhajipala vyavsay

Partner
DOW Chemical International Pvt. Ltd 2 Revolve

Personal Address
A/p Lolam wadi , kondhe A/p Lolam wadi , kondhe

Business Address
A/p Lolam wadi , kondhe A/p Lolam wadi , kondhe

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
No Select Land Ownership Own Leased Others

Total Number of family
5 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
20000

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
141110110019481

Bank Name
Bank of India

IFSC Code
BKID0001411