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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: MP-17-006-022-001/202 Family Id: 202
Name of Head of Household: कैलाश हीमाजी
Name of Father/Husband: N
Category: SC
Date of Registration: 4/1/2008
Address: 121
Villages:
Panchayat: सिमलावदा
Block: रतलाम
District: रतलाम(मध्य प्रदेश )
Whether BPL Family: YES BPL Family No.: 202
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 कैलाश Male 41 State Bank of India
2 सागर बाई Female 36 State Bank of India
3 संतोषी Female 21
4 सीमा Female 19


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