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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: HR-16-005-051-001/28252 Family Id: 28252
Name of Head of Household: OM PARKASAH
Name of Father/Husband: SURJA RAM
Category: OTH
Date of Registration: 2/15/2006
Address:
Villages:
Panchayat: GUSAIN WALA
Block: NATHUSARI CHOPTA
District: SIRSA(HARYANA)
Whether BPL Family: NO Family Id: 28252 PPP No.:
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 OM PARKASH Male 46
2 INDERAWATI Female 44
3 MUKESH Male 18 Punjab National Bank
4 KOSHLYA Female 38


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