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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-21-005-017-001/3060 Family Id: 3060
Name of Head of Household: GOUTAM GOCHHAYATA
Name of Father/Husband: GHURUDU
Category: SC
Date of Registration: 4/22/2007
Address: 228
Villages:
Panchayat: KORADA
Block: CHHENDIPADA
District: ANGUL(ODISHA)
Whether BPL Family: NO Family Id: 3060
Epic No.: 198787
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 GOUTAM GOCHHAYATA Male 35 korada
2 KETAKI GOCHHAYATA Female 30 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