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Full Name
Sima Vasant Dagale

Gender
Female Select Gender Male Female Other

Mobile Number
7756091617

Email Address

Date Of Birth
1983-06-02

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Select State

District
Nashik

Taluka
Sinnar

PIN Code
422103

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
Mahadev Koli

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

Identity Number
668621639722

Business Name
Agri

Partner
H T Parekh Foundation 1 Revolve

Personal Address
Sonaambe Sinnar Sonaambe Sinnar

Business Address
Sonaambe Sinnar Sonaambe 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
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
21000

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
04768100003284

Bank Name
Bank of Baroda

IFSC Code
BARB0SINNAR