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Full Name
Poonam Arun Chorage

Gender
Female Select Gender Male Female Other

Mobile Number
9930233731

Email Address

Date Of Birth
1991-05-12

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Raigad

Taluka
Panvel

PIN Code
410206

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
7112 6622 4067

Business Name
Mess

Partner
Collective Good Foundation 1 Revolve

Personal Address
Ashirwad CHS, Room-05, Plot-B/55, Sector-14, Kalamboli Ashirwad CHS, Room-05, Plot-B/55, Sector-14, Kalamboli

Business Address
Ashirwad CHS, Room-05, Plot-B/55, Sector-14, Kalamboli Ashirwad CHS, Room-05, Plot-B/55, Sector-14, Kalamboli

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
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
2346462801

Bank Name
Kotak Mahindra Bank

IFSC Code
KKBK0000811