Upload Profile
Preview Document

Full Name
Pushpa Prakash Shinde

Gender
Female Select Gender Male Female Other

Mobile Number
9833670261

Email Address

Date Of Birth
1980-01-07

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra 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
5102 0797 5784

Business Name
Shinde Snacks

Partner
Collective Good Foundation 1 Revolve

Personal Address
Flat-A/401, Satyaketu Complex, Plot-09, Sector-35, Kamothe Flat-A/401, Satyaketu Complex, Plot-09, Sector-35, Kamothe

Business Address
Satyaketu Complex, Gala No.-17, Plot-09, Sector-35, Kamothe Satyaketu Complex, Gala No.-17, Plot-09, Sector-35, Kamothe

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
No Select Land Ownership Own Leased Others

Total Number of family
5 Select Number Of Family

Number of Working People
3 Select Number Of Working People 1 2 3 4 5 6 7 8 9 10+

Monthly household income
40000

Women Monthly Income
12000

Seasonable Income
No Select Seasonable Income Yes No

Upload Cancel Cheque * Preview Document

Type Of Account
Saving Select Type Of Account Current Saving

Bank Account Number
000910139002326

Bank Name
Manndeshi Bank

IFSC Code
YESB0MAN001