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Full Name
Kalpana Jena

Gender
Female Select Gender Male Female Other

Mobile Number
9348937207

Email Address

Date Of Birth
1985-06-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Pune

Taluka
Haveli

PIN Code
411041

Religion
Hindu Select Religion Hindu Muslim Christian Jain Buddhist Parsi Others

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

Caste Type
Banjara

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

Identity Number
6074 3959 0000

Business Name
Grocery Shop

Partner
H T Parekh Foundation 1 Revolve

Personal Address
Sanjay Gandhi Vasahat Pashan Sanjay Gandhi Vasahat Pashan

Business Address
Sanjay Gandhi Vasahat Pashan Sanjay Gandhi Vasahat Pashan

Select Home Type
Rented 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
25000

Women Monthly Income
8000

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
23938100012263

Bank Name
Bank of Baroda

IFSC Code
BARB0HATINA