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Full Name
Asha Sanjay Gholap

Gender
Female Select Gender Male Female Other

Mobile Number
8806001550

Email Address

Date Of Birth
1978-09-17

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Pune

Taluka
Haveli

PIN Code
411039

Religion
Hindu Select Religion Hindu Muslim Christian Jain Buddhist Parsi Others

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

Caste Type
Bhoi

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

Identity Number
914875626181

Business Name
Fruit Stall

Partner
H T Parekh Foundation 1 Revolve

Personal Address
B 13 Dnyaneshwari Park Dighi Road Bhosari 411039 B 13 Dnyaneshwari Park Dighi Road Bhosari 411039

Business Address
B 13 Dnyaneshwari Park Dighi Road Bhosari 411039 B 13 Dnyaneshwari Park Dighi Road Bhosari 411039

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
30000

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
110060505332

Bank Name
Canara Bank

IFSC Code
CNRB0000418