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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-15-002-001-017/7021 Family Id: 7021
Name of Head of Household: Pilu Budula
Name of Father/Husband: Tena Budula
Category: ST
Date of Registration: 12/10/2007
Address:
Villages:
Panchayat: Arda
Block: Kirmira
District: JHARSUGUDA(ODISHA)
Whether BPL Family: NO Family Id: 7021
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 Pilu Budula Male 40 State Bank of India
2 Drupati Budula Female 19 State Bank of India
3 Urmila Budula Female 36
4 Smt Urmila Budula Female 42 State Bank of India
5 SUBASINI BUDULA Female 32
6 SARAT BUDULA Male 29
7 SARASWATI BUDULA Female 25 State 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