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Full Name
Jayashree Maloji Jagtap

Gender
Female Select Gender Male Female Other

Mobile Number
9321263960

Email Address

Date Of Birth
1987-12-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Raigad

Taluka
panvel

PIN Code
410206

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
770043275919

Business Name
Cloth Shop

Partner
Collective Good Foundation 1

Personal Address
At post Ajivali, New Panvel At post Ajivali, New Panvel

Business Address
At post Ajivali, New Panvel At post Ajivali, New Panvel

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
Leased Select Land Ownership Own Leased Others

Total Number of family
4 Select Number Of Family

Number of Working People
4 Select Number Of Working People 1 2 3 4 5 6 7 8 9 10+

Monthly household income
25000

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
20011900126207

Bank Name
Raigad district central co-operative bank

IFSC Code
IBKL029RDC