Upload Profile
Preview Document

Full Name
Anita Ashok Powar

Gender
Female Select Gender Male Female Other

Mobile Number
8605102176

Email Address

Date Of Birth
1972-09-16

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Kolhapur

Taluka
Shirol

PIN Code
416104

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
692561421576

Business Name
Cake Maker

Partner
Collective Good Foundation 1 Revolve

Personal Address
Nrusinhwadi, Kolhapur Nrusinhwadi, Kolhapur

Business Address
Nrusinhwadi, Kolhapur Nrusinhwadi, Kolhapur

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
Own Select Land Ownership Own Leased Others

Total Number of family
5 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
15000

Seasonable Income
No Select Seasonable Income Yes No

Upload Cancel Cheque *

Type Of Account
Saving Select Type Of Account Current Saving

Bank Account Number
25045906336

Bank Name
Bank Of Maharashtra

IFSC Code
MAHB0001872