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Full Name
Julekha Mahamad Bagwan

Gender
Female Select Gender Male Female Other

Mobile Number
9860552622

Email Address

Date Of Birth
1973-08-09

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Satara

Taluka
Khandala

PIN Code
415521

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
5858 6818 4542

Business Name
Sadi Shop

Partner
Collective Good Foundation 2 Revolve

Personal Address
A/P Lonand Tel Khandala Dist Satara A/P Lonand Tel Khandala Dist Satara

Business Address
A/P Lonand Tel Khandala Dist Satara A/P Lonand Tel Khandala Dist Satara

Select Home Type
Rented Select Home Type Own Rented Others

Select Land Ownership
Own Select Land Ownership Own Leased Others

Total Number of family
1 Select Number Of Family

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

Monthly household income
4000

Women Monthly Income
4000

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
3780108004774

Bank Name
CANRA BANK

IFSC Code
CNRB0003780