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Full Name
Mandakini prabhakar Gangurde

Gender
Female Select Gender Male Female Other

Mobile Number
7028626174

Email Address

Date Of Birth
1974-11-14

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Nashik

Taluka
DINDORI

PIN Code
422207

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
HINDU MAHAR

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

Identity Number
523572495329

Business Name
POLTRY FORM

Partner
H T Parekh Foundation 1 Revolve

Personal Address
JAULKE DINDORI OJAR NIFAD NASHIK JAULKE DINDORI OJAR NIFAD NASHIK

Business Address
JAULKE DINDORI OJAR NIFAD NASHIK JAULKE DINDORI OJAR NIFAD NASHIK

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
15000

Women Monthly Income
7000

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
88980100001090

Bank Name
BANK OF BARODA

IFSC Code
BARB0DBJALU