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Full Name
Ujwala Sachin Auti

Gender
Female Select Gender Male Female Other

Mobile Number
7021486004

Email Address

Date Of Birth
1988-07-12

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Select State

District
Raigad

Taluka
Panvel

PIN Code
410209

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
3181 0606 7795

Business Name
Mess

Partner
Collective Good Foundation 1 Revolve

Personal Address
Indramahal CHS, Room-C/104, Plot-10, Sector-16, Kamothe Indramahal CHS, Room-C/104, Plot-10, Sector-16, Kamothe

Business Address
Indramahal CHS, Room-C/104, Plot-10, Sector-16, Kamothe Indramahal CHS, Room-C/104, Plot-10, Sector-16, Kamothe

Select Home Type
Rented 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
25000

Women Monthly Income
6000

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
000910139002345

Bank Name
Manndeshi Bank

IFSC Code
YESB0MAN001