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Full Name
Poonam Deepak Chougule

Gender
Female Select Gender Male Female Other

Mobile Number
7447696092

Email Address

Date Of Birth
1985-08-10

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Kolhapur

Taluka
Karveer

PIN Code
416230

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
Mahar

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

Identity Number
527083806446

Business Name
Beauty Parlour

Partner
Collective Good Foundation 1

Personal Address
Panhala M/p Waghve Panhala M/p Waghve

Business Address
Karanjfen,kolhapur Karanjfen,kolhapur

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
Own Select Land Ownership Own Leased Others

Total Number of family
5 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
26000

Women Monthly Income
10000

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
639801002055

Bank Name
ICICI

IFSC Code
ICIC0006398