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Full Name
Archana Avinash Avhad

Gender
Female Select Gender Male Female Other

Mobile Number
9767257615

Email Address

Date Of Birth
1993-08-21

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Nashik

Taluka
Nashik

PIN Code
422101

Religion
Hindu Select Religion Hindu Muslim Christian Jain Buddhist Parsi Others

Caste Category
Scheduled Caste (SC) Select Caste Category General Other backward class (OBC) Scheduled Caste (SC) Scheduled Tribe (ST) Nomadic Tribes (NT) Others

Caste Type
Hindu Mang

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

Identity Number
719654356714

Business Name
Shivan Kam

Partner
H T Parekh Foundation 1 Revolve

Personal Address
Pawar Wadi Jail Road Pawar Wadi Jail Road

Business Address
Pawar Wadi Jail Road Pawar Wadi Jail Road

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
No Select Land Ownership Own Leased Others

Total Number of family
3 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
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
5171567466

Bank Name
Central Bank Of India

IFSC Code
CBIN0283631