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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-007-008-011/10636 Family Id: 10636
Name of Head of Household: GAURANGA MOHANTY
Name of Father/Husband: HADIBANDHU
Category: OTH
Date of Registration: 8/18/2007
Address:
Villages:
Panchayat: PANAPANA
Block: BAHANAGA
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 10636
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 GAURANGA MOHANTY Male 66
2 PURNIMA Female 60
3 GOLAK Male 31 UCO Bank
4 GAYADHAR Male 28
5 KALPANA MOHANTY Female 30 UCO Bank


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