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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-010-021-015/36085 Family Id: 36085
Name of Head of Household: SARAT CHANDRA BARIK
Name of Father/Husband: KRUSHNA
Category: OTH
Date of Registration: 5/15/2020
Address:
Villages:
Panchayat: SHYAMSUNDARPUR
Block: KHAIRA
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 36085
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 SARAT Male 40
2 KUNILATA Female 35 State Bank of India


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