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Full Name
Lalita Sarjerao Gaikwad

Gender
Female Select Gender Male Female Other

Mobile Number
7507083855

Email Address

Date Of Birth
1975-08-31

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Solapur

Taluka
Sangola

PIN Code
413309

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
640175677896

Business Name
Goat Rearing

Partner
Collective Good Foundation 2 Revolve

Personal Address
Gaikwad Gadekar Wasti Lonvire Gaikwad Gadekar Wasti Lonvire

Business Address
Gaikwad Gadekar Wasti Lonvire Gaikwad Gadekar Wasti Lonvire

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
21000

Women Monthly Income
6000

Seasonable Income
No Select Seasonable Income Yes No

Upload Cancel Cheque *

Type Of Account
Saving Select Type Of Account Current Saving

Bank Account Number
142102840002563

Bank Name
The Solapur Distric Central CO-OP Bank Ltd Solapur

IFSC Code
YESB0SDC001