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Full Name
Smita Sanjay Bhadvalkar

Gender
Male Select Gender Male Female Other

Mobile Number
9420226621

Email Address

Date Of Birth
1980-06-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Select State

District
Ratnagiri

Taluka
Chiplun

PIN Code
415702

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
Kunabi

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

Identity Number
9849 6548 6547

Business Name
Planting of Vegetables & Planting of Nachani

Partner
Collective Good Foundation 1

Personal Address
At/Po- Umroli Armare Wadi At/Po- Umroli Armare Wadi

Business Address
At/Po- Umroli Armare Wadi At/Po- Umroli Armare Wadi

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
Own Select Land Ownership Own Leased Others

Total Number of family
4 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
20000

Women Monthly Income
6000

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
68027686209

Bank Name
Bank Of Maharashtra

IFSC Code
MAHB0000511