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Full Name
Jasmin Juber Bagwan

Gender
Female Select Gender Male Female Other

Mobile Number
9175172219

Email Address

Date Of Birth
1996-07-04

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
4733 4876 9382

Business Name
Mobile shopy

Partner
Collective Good Foundation 2 Revolve

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

Business Address
A/P Lonand Tel Khandal Dist Satara A/P Lonand Tel Khandal 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
8 Select Number Of Family

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

Monthly household income
35000

Women Monthly Income
2500

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
04448100002612

Bank Name
BANK OF BARODA

IFSC Code
BARB0LONAND