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Full Name
Sanjeevani Marlidhar Nikam

Gender
Female Select Gender Male Female Other

Mobile Number
8446450016

Email Address

Date Of Birth
1973-01-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Nashik

Taluka
Dindori

PIN Code
422206

Religion
Hindu Select Religion Hindu Muslim Christian Jain Buddhist Parsi Others

Caste Category
Scheduled Tribe (ST) 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
561130940336

Business Name
Vegitable Stoll

Partner
H T Parekh Foundation 1 Revolve

Personal Address
Dindori jaulke Dindori jaulke

Business Address
Dindori jaulke Dindori jaulke

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
Own Select Land Ownership Own Leased Others

Total Number of family
7 Select Number Of Family

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

Monthly household income
45000

Women Monthly Income
8000

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
88980100001145

Bank Name
Bank Of Baroda

IFSC Code
BARB0DBJALU