Upload Profile
Preview Document

Full Name
Akshata Ajit Rane

Gender
Female Select Gender Male Female Other

Mobile Number
9923823097

Email Address

Date Of Birth
1985-01-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Select State

District
Ratnagiri

Taluka
Chiplun

PIN Code
415605

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
9348 7260 7332

Business Name
Vegetable vendor

Partner
Collective Good Foundation 1

Personal Address
At/Po- Kapsal Survewadi At/Po- Kapsal Survewadi

Business Address
At/Po- Kapsal Survewadi At/Po- Kapsal Survewadi

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
25000

Women Monthly Income
5000

Seasonable Income
Yes Select Seasonable Income Yes No

Upload Cancel Cheque * Preview Document

Type Of Account
Saving Select Type Of Account Current Saving

Bank Account Number
60205099498

Bank Name
Bank Of Maharashtra

IFSC Code
MAHB0000296