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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-010-021-013/33953 Family Id: 33953
Name of Head of Household: DINES DAS
Name of Father/Husband: JAYGOPAL
Category: SC
Date of Registration: 8/1/2017
Address:
Villages:
Panchayat: SHYAMSUNDARPUR
Block: KHAIRA
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 33953
Epic No.: WGE0329151
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 DINES DAS Male 32 Bank of India
2 LAXMIPRIYA DAS Female 28 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