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Full Name
Surekha Prakash Chopdar

Gender
Female Select Gender Male Female Other

Mobile Number
8983028552

Email Address

Date Of Birth
1987-04-22

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Ratnagiri

Taluka
Khed

PIN Code
415722

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
6356 5134 6763

Business Name
Tailoring

Partner
DOW Chemical International Pvt. Ltd 2 Revolve

Personal Address
A/P-Ghanekunth,Gaval wadi A/P-Ghanekunth,Gaval wadi

Business Address
A/P-Ghanekunth,Gaval wadi A/P-Ghanekunth,Gaval wadi

Select Home Type
Rented 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
143918210004469

Bank Name
Bank of India

IFSC Code
BKID0001439