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Full Name
Nilewatar Manjulha Mahavir

Gender
Female Select Gender Male Female Other

Mobile Number
8446470942

Email Address

Date Of Birth
1988-06-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Kolhapur

Taluka
Karvir

PIN Code
416234

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
251338757538

Business Name
Vegetable Seller

Partner
Collective Good Foundation 1 Revolve

Personal Address
Nerli, Kolhapur Nerli, Kolhapur

Business Address
Nerli, Kolhapur Nerli, 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
2 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
25000

Women Monthly Income
10000

Seasonable Income
No Select Seasonable Income Yes No

Upload Cancel Cheque *

Type Of Account
Saving Select Type Of Account Current Saving

Bank Account Number
3970508000006287

Bank Name
Shree Warana Sahakari Bank LTd.Warananagr

IFSC Code
HDFC0CSWSBL