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Full Name
Mumataj Shabir Sayyad

Gender
Female Select Gender Male Female Other

Mobile Number
9762484367

Email Address

Date Of Birth
1971-01-01

Marital Status
Widowed Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Kolhapur

Taluka
karveer

PIN Code
416002

Religion
Muslim 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
muslim

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

Identity Number
381721674128

Business Name
Pan Shop

Partner
Collective Good Foundation 1

Personal Address
2355,D ward Bhrampuri Kolhapur 2355,D ward Bhrampuri Kolhapur

Business Address
panchganga ghat budhawar peth kolhapur panchganga ghat budhawar peth 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
39000

Women Monthly Income
12000

Seasonable Income
Yes Select Seasonable Income Yes No

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Type Of Account
Saving Select Type Of Account Current Saving

Bank Account Number
60057742767

Bank Name
Bank of maharashtra

IFSC Code
MAHB0000585