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Full Name
Mayuri Mahesh Khamkar

Gender
Female Select Gender Male Female Other

Mobile Number
9096430650

Email Address

Date Of Birth
1973-08-14

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Ratnagiri

Taluka
Khed

PIN Code
415709

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
Koshti

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

Identity Number
2106 6509 8963

Business Name
Mess

Partner
DOW Chemical International Pvt. Ltd 2 Revolve

Personal Address
A/p Koshti aali , khed A/p Koshti aali , khed

Business Address
A/p Koshti aali , khed A/p Koshti aali , khed

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
No Select Land Ownership Own Leased Others

Total Number of family
2 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
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
20181313416

Bank Name
BANK OF MAHARASHTRA

IFSC Code
MAHB0001173