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Full Name
Mangal Sanjay Nikam

Gender
Female Select Gender Male Female Other

Mobile Number
9699485965

Email Address

Date Of Birth
1978-04-14

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Select State

District
Satara

Taluka
Satara

PIN Code
415518

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
6275 8640 7303

Business Name
Farming

Partner
Collective Good Foundation 1 Revolve

Personal Address
At Post Apshinge (M) Tal & Dist satara At Post Apshinge (M) Tal & Dist satara

Business Address
At Post Apshinge (M) Tal & Dist satara At Post Apshinge (M) Tal & Dist satara

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
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
000610139012025

Bank Name
Manndeshi Mahila Sahkari Bank

IFSC Code
YESB0MAN001