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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: GJ-20-001-030-002/34 Family Id: 034
Name of Head of Household: KOLI POPATBHAI
Name of Father/Husband: KOLI SHAMBHUBHAI
Category: OTH
Date of Registration: 5/23/2008
Address:
Villages:
Panchayat: Madhutra
Block: SANTALPUR
District: PATAN(GUJARAT)
Whether BPL Family: YES BPL Family No.: 34
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 KOLI POPATBHAI SHAMBHUBHAI Male 45
2 KOLI GOMIBEN POPATBHAI Female 43
3 KOLI VALABHAI POPATBHAI Male 21
4 KOLI RAMESHBHAI POPATBHAI Male 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