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Full Name
Surekha Mangaldas Fasale

Gender
Female Select Gender Male Female Other

Mobile Number
9975652715

Email Address

Date Of Birth
1993-06-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Nashik

Taluka
Nashik

PIN Code
422206

Religion
Hindu Select Religion Hindu Muslim Christian Jain Buddhist Parsi Others

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

Caste Type
Hindu Mahadev Koli

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

Identity Number
884280664623

Business Name
Surekha catllery shop

Partner
H T Parekh Foundation 1 Revolve

Personal Address
Janori Dindori Janori Dindori

Business Address
Janori Dindori Janori Dindori

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
No Select Land Ownership Own Leased Others

Total Number of family
5 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
14000

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
89090100003337

Bank Name
Bank Of Baroda

IFSC Code
BARB0DBJAND