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Full Name
Mumtaj Ajmuddin Mulla

Gender
Female Select Gender Male Female Other

Mobile Number
9850790964

Email Address

Date Of Birth
1979-01-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Select State

District
Satara

Taluka
Khandala

PIN Code
415521

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
Muslim

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

Identity Number
395653139928

Business Name
Teloring

Partner
Collective Good Foundation 1

Personal Address
A/P Andori, Tal- Khandala, Dist- Satara A/P Andori, Tal- Khandala, Dist- Satara

Business Address
A/P Andori, Tal- Khandala, Dist- Satara A/P Andori, Tal- Khandala, Dist- Satara

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
15000

Women Monthly Income
9000

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
60326467399

Bank Name
Bank Of Maharashtra

IFSC Code
MAHB0001785