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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-14-011-019-005/3048 Family Id: 3048
Name of Head of Household: BIJAYA MUNDACHULIA
Name of Father/Husband: MAYADHAR MUNDACHULIA
Category: SC
Date of Registration: 5/18/2007
Address:
Villages:
Panchayat: RENGALI
Block: SOHELLA
District: BARGARH(ODISHA)
Whether BPL Family: NO Family Id: 3048
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 BIJAYA MUNDACHULIA Male 40 Sohella so
2 KANTI MUNDACHULIA Female 35 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