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Full Name
Imambu Mulla

Gender
Female Select Gender Male Female Other

Mobile Number
7350198463

Email Address

Date Of Birth
1983-01-01

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
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
4843 2498 0404

Business Name
Stationary

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
000410139013168

Bank Name
Manndeshi Mahila Bank

IFSC Code
YESB0MAN001