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Full Name
Bismilla Khadarsab Mulla

Gender
Female Select Gender Male Female Other

Mobile Number
7709308306

Email Address

Date Of Birth
1989-01-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Satara

Taluka
Khatav

PIN Code
415506

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
8674 5146 7540

Business Name
Cloth Shop

Partner
Collective Good Foundation 2 Revolve

Personal Address
Ap Vaduj Tal Khatav Dist Satara Ap Vaduj Tal Khatav Dist Satara

Business Address
Ap Vaduj Tal Khatav Dist Satara Ap Vaduj Tal Khatav Dist Satara

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

Monthly household income
10000

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
000410139013023

Bank Name
Mandeshi Mahila Bank

IFSC Code
YESB0MAN001