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Full Name
Archana Shubhash Patil

Gender
Female Select Gender Male Female Other

Mobile Number
7820983787

Email Address

Date Of Birth
1981-01-19

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Kolhapur

Taluka
Karvir

PIN Code
416201

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
293421056761

Business Name
Shevai maker

Partner
Collective Good Foundation 1 Revolve

Personal Address
Rakshi tal.panhala ,kolhapur Rakshi tal.panhala ,kolhapur

Business Address
Rakshi tal.panhala ,kolhapur Rakshi tal.panhala ,kolhapur

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
Own Select Land Ownership Own Leased Others

Total Number of family
5 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
30000

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
321502010127152

Bank Name
Union Bank

IFSC Code
UBIN0532151