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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: GJ-20-001-013-001/591 Family Id: 591
Name of Head of Household: KOLI MOHAN DHARMSI
Name of Father/Husband: KOLI DHARMSI
Category: OTH
Date of Registration: 12/1/2009
Address:
Villages:
Panchayat: Datrana
Block: SANTALPUR
District: PATAN(GUJARAT)
Whether BPL Family: NO Family Id: 591
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 KOLI MOHAN DHARMSI Male 35
2 KOLI MUKTABEN MOHAN Female 33
3 koli niruben mohan Female 18
4 haresh mohan Male 20


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