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Full Name
Priya Swapnil Kohok

Gender
Female Select Gender Male Female Other

Mobile Number
9021117022

Email Address

Date Of Birth
2000-02-02

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Nashik

Taluka
Nashik

PIN Code
422101

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
809385963578

Business Name
Pico Fall Center

Partner
H T Parekh Foundation 1 Revolve

Personal Address
Manjula Mangal Karyalay,Jailrod Manjula Mangal Karyalay,Jailrod

Business Address
Manjula Mangal Karyalay,Jailrod Manjula Mangal Karyalay,Jailrod

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
No 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
22000

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
11188100002774

Bank Name
Bank Of Baroda

IFSC Code
BARB0EKLAHA