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Full Name
Laxmi Balu Khomane

Gender
Female Select Gender Male Female Other

Mobile Number
8378057495

Email Address

Date Of Birth
1981-01-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Satara

Taluka
Phaltan

PIN Code
415521

Religion
Hindu Select Religion Hindu Muslim Christian Jain Buddhist Parsi Others

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

Caste Type
Ramoshi

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

Identity Number
575125872550

Business Name
Kurdai Papad Making Business

Partner

Personal Address
A/P - Taradgaon , Tal- Phaltan, Dist- Satara A/P - Taradgaon , Tal- Phaltan, Dist- Satara

Business Address
A/P - Taradgaon , Tal- Phaltan, Dist- Satara A/P - Taradgaon , Tal- Phaltan, 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
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
15000

Women Monthly Income
7000

Seasonable Income
No Select Seasonable Income Yes No

Upload Cancel Cheque *

Type Of Account
Saving Select Type Of Account Current Saving

Bank Account Number
60124955421

Bank Name
Bank Of Maharashtra

IFSC Code
MAHB0000215