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Full Name
Gita Baliram Ambhore

Gender
Female Select Gender Male Female Other

Mobile Number
9689221580

Email Address

Date Of Birth
1981-01-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Nashik

Taluka
Sinnar

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
684610466331

Business Name
Shivan Kam

Partner
H T Parekh Foundation 1 Revolve

Personal Address
Sinnar Sinnar

Business Address
Sinnar 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
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
20000

Women Monthly Income
10000

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
60273048716

Bank Name
Bank of Maharasta

IFSC Code
MAHB0000275