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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KL-13-007-003-004/3296 Family Id: 3296
Name of Head of Household: സീനത്ത്
Name of Father/Husband: ഷാജഹാന്‍
Category: OTH
Date of Registration: 1/31/2014
Address: 314,വയലില്‍ പുത്തെന്‍ വീട്
Villages:
Panchayat: മയ്യനാട്
Block: മുഖത്തല
District: KOLLAM(KERALA)
Whether BPL Family: YES BPL Family No.: 0
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 സീനത്ത് Female 43


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