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Full Name
Mangal Balasaheb Suryawanshi

Gender
Female Select Gender Male Female Other

Mobile Number
8975236731

Email Address

Date Of Birth
1972-06-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Solapur

Taluka
Sangola

PIN Code
413307

Religion
Hindu Select Religion Hindu Muslim Christian Jain Buddhist Parsi Others

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

Caste Type
Maratha

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

Identity Number
769989352075

Business Name
Hotel

Partner
Collective Good Foundation 1

Personal Address
At post Jawala At post Jawala

Business Address
At post Jawala At post Jawala

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
Own Select Land Ownership Own Leased Others

Total Number of family
2 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
15000

Women Monthly Income
15000

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
3110035539

Bank Name
Central Bank Of India

IFSC Code
CBIN0281588