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Full Name
Varsha Deepak Nikam

Gender
Female Select Gender Male Female Other

Mobile Number
8007006246

Email Address

Date Of Birth
1990-11-15

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Nashik

Taluka
Nashik

PIN Code
422101

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
Hinu Maratha

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

Identity Number
688109242791

Business Name
Mess

Partner
H T Parekh Foundation 1 Revolve

Personal Address
Datta mandir road, Belatgavhan ,Nashik. Datta mandir road, Belatgavhan ,Nashik.

Business Address
Datta mandir road, Belatgavhan ,Nashik. Datta mandir road, Belatgavhan ,Nashik.

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
Own Select Land Ownership Own Leased Others

Total Number of family
5 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
25000

Women Monthly Income
10000

Seasonable Income
Yes Select Seasonable Income Yes No

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Type Of Account
Saving Select Type Of Account Current Saving

Bank Account Number
502002010094820

Bank Name
Union Bank

IFSC Code
UBIN0550205