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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-007-017-001/19850 Family Id: 19850
Name of Head of Household: PURNACHANDRA JENA
Name of Father/Husband: BAISNABANANDA
Category: OTH
Date of Registration: 2/2/2010
Address: 33
Villages:
Panchayat: KHARASAHAPUR
Block: BAHANAGA
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 19850
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 PURNACHANDRA JENA Male 46 Odisha Gramya Bank
2 SUBASINI JENA Female 41 KALINGA GRAMYA BANK
3 SATYANARAYANA JENA Male 24 KALINGA GRAMYA BANK


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