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Full Name
Rachana Madhukar Ghotekar

Gender
Female Select Gender Male Female Other

Mobile Number
7666034513

Email Address

Date Of Birth
1974-06-15

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Nashik

Taluka
Nashik

PIN Code
422103

Religion
Hindu Select Religion Hindu Muslim Christian Jain Buddhist Parsi Others

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

Caste Type
Maratha

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

Identity Number
438852348240

Business Name
Agri

Partner
H T Parekh Foundation 1 Revolve

Personal Address
Manegoan Sinnar Manegoan Sinnar

Business Address
Manegoan Sinnar Manegoan Sinnar

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
Own Select Land Ownership Own Leased Others

Total Number of family
6 Select Number Of Family

Number of Working People
3 Select Number Of Working People 1 2 3 4 5 6 7 8 9 10+

Monthly household income
30000

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
26000100022988

Bank Name
Bank of Baroda

IFSC Code
BARB0SSIMAL