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Full Name
Shilpa Mohan Ingale

Gender
Female Select Gender Male Female Other

Mobile Number
9356256628

Email Address

Date Of Birth
1977-01-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Select State

District
Latur

Taluka
Renapur

PIN Code
413527

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
Mahar

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

Identity Number
892803373069

Business Name
Grossary Shop

Partner
Collective Good Foundation 2 Revolve

Personal Address
Harwadi Harwadi

Business Address
Harwadi Harwadi

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
No 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
35000

Women Monthly Income
19000

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
064610110002908

Bank Name
Bank Of India

IFSC Code
BKID0000646