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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: BH-13-022-009-00178370/1167 Family Id: 1167
Name of Head of Household: banti baitha
Name of Father/Husband: jagdev baitha
Category: OTH
Date of Registration: 4/1/2010
Address:
Villages:
Panchayat: नि‍मोइया पश्चिमी
Block: बन्कत्व
District: PURBI CHAMPARAN(BIHAR)
Whether BPL Family: NO Family Id: 1167
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 banti baitha Male 45
2 HIRA DEVI Female 40 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