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Full Name
Sushama Mahadev Kirtake

Gender
Female Select Gender Male Female Other

Mobile Number
7757858035

Email Address

Date Of Birth
1988-11-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Solapur

Taluka
Sangola

PIN Code
413317

Religion
Hindu Select Religion Hindu Muslim Christian Jain Buddhist Parsi Others

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

Caste Type
Mahar

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

Identity Number
282569723889

Business Name
Poultry (Hen rearing)

Partner
Collective Good Foundation 1

Personal Address
A/p:- Gavthan ,Dhayati A/p:- Gavthan ,Dhayati

Business Address
A/p:- Gawthan ,Dhayati A/p:- Gawthan ,Dhayati

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
Own Select Land Ownership Own Leased Others

Total Number of family
Select Number Of Family

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

Monthly household income
16000

Women Monthly Income
8000

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
60274299872

Bank Name
BANK OF MAHARASHTRA

IFSC Code
MAHB0001084