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Full Name
Samina Shamshuddin Kotawal

Gender
Female Select Gender Male Female Other

Mobile Number
9763177860

Email Address

Date Of Birth
1985-01-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Kolhapur

Taluka
karveer

PIN Code
416011

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
219837737501

Business Name
Jewellery Making

Partner
Collective Good Foundation 1

Personal Address
Bidi kamgar vasahat kolhapur Bidi kamgar vasahat kolhapur

Business Address
Bidi kamgar vasahat,rajopadhyenagar,Kolhapur Bidi kamgar vasahat,rajopadhyenagar,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
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
22000

Women Monthly Income
10000

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
40139428077

Bank Name
State Bank of india

IFSC Code
SBIN0012691