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Full Name
Mosmin Nadim Bagwan

Gender
Female Select Gender Male Female Other

Mobile Number
8459504949

Email Address

Date Of Birth
1986-01-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Satara

Taluka
Khandala

PIN Code
415521

Religion
Muslim 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
Muslim

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

Identity Number
5563 0442 0725

Business Name
Cloth Shopi

Partner
Collective Good Foundation 2 Revolve

Personal Address
A/P- Lonand Tal- Khandala Dist- Satara A/P- Lonand Tal- Khandala Dist- Satara

Business Address
A/P- Lonand Tal- Khandala Dist- Satara A/P- Lonand Tal- Khandala 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
6 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
30000

Women Monthly Income
8000

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
000710139009471

Bank Name
Manndeshi Mahila Sahkari Bank

IFSC Code
YESB0MAN001