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Full Name
Archanna Sidram J

Gender
Female Select Gender Male Female Other

Mobile Number
8888361629

Email Address

Date Of Birth
1983-01-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Latur

Taluka
Latur

PIN Code
413531

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
810308150435

Business Name
Vegetable Sale

Partner
Collective Good Foundation 2 Revolve

Personal Address
Gngapur Gngapur

Business Address
Gangapur/Latur Gangapur/Latur

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
40000

Women Monthly Income
3000

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
52472610002508

Bank Name
Canera Bank

IFSC Code
CNRB0015247