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Full Name
Amina Sardar Pathan

Gender
Female Select Gender Male Female Other

Mobile Number
7767977304

Email Address

Date Of Birth
1987-08-07

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Raigad

Taluka
Khalapur

PIN Code
410222

Religion
Muslim 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
Muslim

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

Identity Number
3630 7835 0298

Business Name
Atta Chakki

Partner
Collective Good Foundation 1 Revolve

Personal Address
H. No. 661, Panchashil Nagar Chambharli H. No. 661, Panchashil Nagar Chambharli

Business Address
H. No. 661, Panchashil Nagar Chambharli H. No. 661, Panchashil Nagar Chambharli

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
3 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
024011900093591

Bank Name
Raigad District Central Bank

IFSC Code
IBKL0299RDC