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Full Name
Triveni Nilesh Bansode

Gender
Female Select Gender Male Female Other

Mobile Number
9028742562

Email Address

Date Of Birth
1980-02-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Pune

Taluka
Haveli

PIN Code
411027

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
807432407929

Business Name
Grocery Shop

Partner
H T Parekh Foundation 1 Revolve

Personal Address
Bhavunagar Pimple Gurav Bhavunagar Pimple Gurav

Business Address
Ganaga Nagar Near BSNL Office Old Sangavi Ganaga Nagar Near BSNL Office Old Sangavi

Select Home Type
Rented 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
40000

Women Monthly Income
12000

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
60192492040

Bank Name
Bank of Maharashtra

IFSC Code
MAHB0001686