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Full Name
Suraksha Sunil Pandere

Gender
Female Select Gender Male Female Other

Mobile Number
7666588261

Email Address

Date Of Birth
1991-02-20

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Ratnagiri

Taluka
Chiplun

PIN Code
415605

Religion
Hindu Select Religion Hindu Muslim Christian Jain Buddhist Parsi Others

Caste Category
Nomadic Tribes (NT) Select Caste Category General Other backward class (OBC) Scheduled Caste (SC) Scheduled Tribe (ST) Nomadic Tribes (NT) Others

Caste Type
Gavali

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

Identity Number
9683 3434 5300

Business Name
Tea Stall

Partner
DOW Chemical International Pvt. Ltd 2 Revolve

Personal Address
Bapat Ali, Krushnkamal appt ,Ground Floor,Chiplun Bapat Ali, Krushnkamal appt ,Ground Floor,Chiplun

Business Address
Bapat Ali, Krushnkamal appt ,Ground Floor,Chiplun Bapat Ali, Krushnkamal appt ,Ground Floor,Chiplun

Select Home Type
Rented 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
20000

Women Monthly Income
5000

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
144010110010452

Bank Name
Bank Of India

IFSC Code
BKID0001440