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Full Name
Archana Sachin Chavan

Gender
Female Select Gender Male Female Other

Mobile Number
9764889777

Email Address

Date Of Birth
1990-01-11

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Satara

Taluka
khandala

PIN Code
415521

Religion
Hindu Select Religion Hindu Muslim Christian Jain Buddhist Parsi Others

Caste Category
Other backward class (OBC) Select Caste Category General Other backward class (OBC) Scheduled Caste (SC) Scheduled Tribe (ST) Nomadic Tribes (NT) Others

Caste Type
Baoudh

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

Identity Number
5552 4207 2460

Business Name
Grossary Shop

Partner
Collective Good Foundation 2 Revolve

Personal Address
A/p Lonand Tel Khandala Dist Satara A/p Lonand Tel Khandala Dist Satara

Business Address
A/p Lonand Tel Khandala Dist Satara A/p Lonand Tel Khandala Dist Satara

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
13000

Women Monthly Income
3000

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
60140833944

Bank Name
BANK OF MAHARASHTRA

IFSC Code
MAHB0001629