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Full Name
Sujata Rahul Tilak

Gender
Female Select Gender Male Female Other

Mobile Number
9359371246

Email Address

Date Of Birth
1981-01-05

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Satara

Taluka
Satara

PIN Code
415002

Religion
Hindu Select Religion Hindu Muslim Christian Jain Buddhist Parsi Others

Caste Category
Scheduled Caste (SC) Select Caste Category General Other backward class (OBC) Scheduled Caste (SC) Scheduled Tribe (ST) Nomadic Tribes (NT) Others

Caste Type
Baudh

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

Identity Number
8259 8150 3396

Business Name
Tailoring & Photo Editing

Partner
Collective Good Foundation 1 Revolve

Personal Address
383/4/k Ramful Niwas Gendamal Naka Shahupuri Satara 383/4/k Ramful Niwas Gendamal Naka Shahupuri Satara

Business Address
383/4/k Ramful Niwas Gendamal Naka Shahupuri Satara 383/4/k Ramful Niwas Gendamal Naka Shahupuri Satara

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
20000

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
000610139011721

Bank Name
Manndeshi Mahila Sahkari Bank

IFSC Code
YESB0MAN001