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Full Name
Gauri Ramkrushna Lolam

Gender
Female Select Gender Male Female Other

Mobile Number
9511638257

Email Address

Date Of Birth
2000-12-02

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

Caste Type
Kunbi

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

Identity Number
8197 5922 4035

Business Name
Sheti

Partner
DOW Chemical International Pvt. Ltd 2 Revolve

Personal Address
A/P-Kondhe Shiral Lolamwadi A/P-Kondhe Shiral Lolamwadi

Business Address
A/P-Kondhe Shiral Lolamwadi A/P-Kondhe Shiral Lolamwadi

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
Own Select Land Ownership Own Leased Others

Total Number of family
4 Select Number Of Family

Number of Working People
4 Select Number Of Working People 1 2 3 4 5 6 7 8 9 10+

Monthly household income
32000

Women Monthly Income
8000

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
141110110013079

Bank Name
Bank Of India

IFSC Code
BKID0001411