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Full Name
Mrunali Milind Mohite

Gender
Female Select Gender Male Female Other

Mobile Number
8379901980

Email Address

Date Of Birth
1983-02-04

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Ratnagiri

Taluka
Chiplun

PIN Code
415605

Religion
Hindu Select Religion Hindu Muslim Christian Jain Buddhist Parsi Others

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

Caste Type
Kunbi

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

Identity Number
9582 3104 3955

Business Name
Khadyapadarth

Partner
DOW Chemical International Pvt. Ltd 2 Revolve

Personal Address
A/p-Mirjoli Dattwadi A/p-Mirjoli Dattwadi

Business Address
A/p-Mirjoli Dattwadi A/p-Mirjoli Dattwadi

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
15000

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
1445252818

Bank Name
Kotak Mahindra Bank

IFSC Code
KKBK0002022