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Full Name
Surekha Anant Dede

Gender
Female Select Gender Male Female Other

Mobile Number
9373399059

Email Address

Date Of Birth
1986-01-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Select State

District
Latur

Taluka
Latur

PIN Code
413512

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
Mang

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

Identity Number
858585727212

Business Name
Vegitable Sale

Partner
Collective Good Foundation 1

Personal Address
Sant Gorobakaka Society, Latur Sant Gorobakaka Society, Latur

Business Address
Ganj Golai, Latur Ganj Golai, Latur

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
Others 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
18000

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
60185811125

Bank Name
BANK OF MAHARASHTRA

IFSC Code
MAHB0000038