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Full Name
Laxmi Ajit Nesargi

Gender
Female Select Gender Male Female Other

Mobile Number
8855897901

Email Address

Date Of Birth
1987-01-01

Marital Status
Widowed Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Kolhapur

Taluka
karveer

PIN Code
416005

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
Lonari

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

Identity Number
571205471501

Business Name
Snack Center

Partner
Collective Good Foundation 1

Personal Address
plot no-337 M/P Unchgaon plot no-337 M/P Unchgaon

Business Address
Near Powar mala Gandhinagar Near Powar mala Gandhinagar

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

Monthly household income
10000

Women Monthly Income
10000

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
83510100002496

Bank Name
Bank of Baroda

IFSC Code
BARB0VJGAKO