Upload Profile
Preview Document

Full Name
Usha Subhash Rathod

Gender
Female Select Gender Male Female Other

Mobile Number
9545561877

Email Address

Date Of Birth
2003-07-15

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Latur

Taluka
Renapur

PIN Code
413527

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
Laman

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

Identity Number
976114201462

Business Name
Parlor

Partner
Collective Good Foundation 2 Revolve

Personal Address
Bitergao Bitergao

Business Address
Bitergao Bitergao

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
35000

Women Monthly Income
4000

Seasonable Income
No Select Seasonable Income Yes No

Upload Cancel Cheque * Preview Document

Type Of Account
Saving Select Type Of Account Current Saving

Bank Account Number
064610110013508

Bank Name
Bank Of India

IFSC Code
BKID0000646