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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-006-024-011/18780 Family Id: 18780
Name of Head of Household: CHANDAN KU ACHARJYA
Name of Father/Husband: RAJENDRA
Category: OTH
Date of Registration: 1/1/2011
Address:
Villages:
Panchayat: NAMPO
Block: JALESWAR
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 18780
Epic No.: OR/02/011/010185
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 CHANDAN KU ACHARJYA Male 40 State Bank of India
2 PADMINE Female 36 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