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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-16-002-016-008/5079 Family Id: 5079
Name of Head of Household: Nabin Behera
Name of Father/Husband: Trilochan Behera
Category: SC
Date of Registration: 5/14/2006
Address:
Villages:
Panchayat: KAUNSIBAHAL
Block: BARKOTE
District: DEOGARH(ODISHA)
Whether BPL Family: NO Family Id: 5079
Epic No.: 18134352772
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 Nabin Behera Male 43 Central Bank Of India
2 Kuni Behera Female 35 Central Bank Of India


Signature/Thumb impression of Applicant
                  
Seal & Signature of Registering Authority

Requested Period of Employment


Period and Work on which Employment Offered


Period and Work on which Employment Given