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Full Name
Dipali Mohan Kshirsagar

Gender
Female Select Gender Male Female Other

Mobile Number
8208103078

Email Address

Date Of Birth
1985-08-15

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Satara

Taluka
Khandala

PIN Code
415521

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
Hindu Maratha

Identify Proof
Aadhar Card Select Identify Proof Aadhar Card PAN Card Voters Card Other

Identity Number
478383625813

Business Name
Vegitable Vendor

Partner
Collective Good Foundation 2 Revolve

Personal Address
Ap- lonand, Tal- Khandala, Dist- Satara Ap- lonand, Tal- Khandala, Dist- Satara

Business Address
Ap- lonand, Tal- Khandala, Dist- Satara Ap- lonand, Tal- Khandala, 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
5 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
21000

Women Monthly Income
10000

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
04448100001541

Bank Name
Bank Of Baroda

IFSC Code
BARB0LONAND