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Full Name
Shahin Imtiyaj Mullani

Gender
Female Select Gender Male Female Other

Mobile Number
8275541824

Email Address

Date Of Birth
1990-01-04

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Kolhapur

Taluka
Shirol

PIN Code
416101

Religion
Muslim 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
Muslim

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

Identity Number
789154149501

Business Name
Fashion Design

Partner
Collective Good Foundation 1 Revolve

Personal Address
JaysingPur, Kolhapur JaysingPur, Kolhapur

Business Address
JaysingPur, Kolhapur JaysingPur, 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
6 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
13000

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
60266852423

Bank Name
Bank Of Maharashtra

IFSC Code
MAHB0001383