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Full Name
Shahista Asif Shaikh

Gender
Female Select Gender Male Female Other

Mobile Number
9890341000

Email Address

Date Of Birth
1998-08-15

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Pune

Taluka
Purandar

PIN Code
412306

Religion
Hindu 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
3078 9168 3805

Business Name
Grossary shop

Partner
Collective Good Foundation 2 Revolve

Personal Address
A/P Nira Tel Purandar Dist Pune A/P Nira Tel Purandar Dist Pune

Business Address
A/P Nira Tel Purandar Dist Pune A/P Nira Tel Purandar Dist Pune

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
15000

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
68025167570

Bank Name
BANK OF MAHARASHTRA

IFSC Code
MAHB0000096