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Full Name
Shivani Akshay Shahapurkar

Gender
Female Select Gender Male Female Other

Mobile Number
9764053191

Email Address

Date Of Birth
1997-08-14

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Ratnagiri

Taluka
Khed

PIN Code
415621

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
5578 7079 7576

Business Name
Tailoring

Partner
DOW Chemical International Pvt. Ltd 2 Revolve

Personal Address
A/p veral sayali apt. A/p veral sayali apt.

Business Address
A/p veral sayali apt. A/p veral sayali apt.

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
No Select Land Ownership Own Leased Others

Total Number of family
3 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
10000

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
53802600000254

Bank Name
CANARA BANK

IFSC Code
CNRB0015380