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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: GJ-10-008-035-001/36123 Family Id: 36123
Name of Head of Household: SAMIRKHAN HETUMIYA SIPAI
Name of Father/Husband: HETUMIYA SIPAI
Category: OTH
Date of Registration: 4/11/2023
Address:
Villages:
Panchayat: Panchha
Block: KHERALU
District: MAHESANA(GUJARAT)
Whether BPL Family: NO Family Id: 36123
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 SAMIRKHAN HETUMIYA SIPAI Male 20 Bank of India


Signature/Thumb impression of Applicant 		                  
Seal & Signature of Registering Authority

Requested Period of Employment

S.No Demand Id Name of Applicant Month & Date from which employment requested No of Days
1 4715 SAMIRKHAN HETUMIYA SIPAI 18/04/2023~~02/05/2023~~15 13

Period and Work on which Employment Offered

S.No Demand Id Name of Applicant Month & Date from which employment requested No of Days Work Name
1 4715 SAMIRKHAN HETUMIYA SIPAI 18/04/2023~~02/05/2023~~15 13 PANCHHA GAME AMRUT SAROVAR BANAVA NU KAM (1110008035/WC/100000000000170580)

Period and Work on which Employment Given

S.No Name of Applicant Month & Date from which employment requested No of Days Work Name MSR No. Total Amount of Work Done Payment Due
1 SAMIRKHAN HETUMIYA SIPAI 18/04/2023 13 PANCHHA GAME AMRUT SAROVAR BANAVA NU KAM (1110008035/WC/100000000000170580) 183 3211 0
Sub Total FY 2324 13 3211 0