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Full Name
Surekha Dattatray Vasav

Gender
Female Select Gender Male Female Other

Mobile Number
9689531666

Email Address

Date Of Birth
1990-01-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Solapur

Taluka
Malshiras

PIN Code
413113

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
Hindu Lohar

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

Identity Number
850707043608

Business Name
Unhal Kam

Partner
Collective Good Foundation 2 Revolve

Personal Address
Khandali Khandali

Business Address
Khandali Khandali

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
No 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
22000

Women Monthly Income
7000

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
000210139025729

Bank Name
Mandeshi Mahila Sahakari Bank Ltd... Mhaswad

IFSC Code
YESB0MAN001