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Job card
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MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
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Job card No.:
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OR-30-005-007-003/11783
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Family Id:
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11783
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Name of Head of Household:
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KURTIBAS SAMARATH
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Name of Father/Husband:
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MADHAB
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Category:
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ST
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Date of Registration:
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5/11/2006
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Address:
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Villages:
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Panchayat:
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BODOMOSIGAM
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Block:
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NABARANGPUR
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District:
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NABARANGAPUR(ODISHA)
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Whether BPL Family:
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NO
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Family Id:
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11783
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Epic No.:
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Details of the Applicants of the household willing
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S.No
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Name of Applicant
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Gender
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Age
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Bank/Postoffice
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1
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CHITRA
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Male
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23
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2
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CHANDRAMA
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Female
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48
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3
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KURTIBAS
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Male
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51
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4
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SUTTAM SAMARATH
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Male
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48
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5
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RAMA SAMARATH
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Female
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46
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6
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DEBENDRA SAMARATH
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Male
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19
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Signature/Thumb impression of Applicant
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Seal & Signature of Registering Authority
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