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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-009-011-004/17598 Family Id: 17598
Name of Head of Household: BIJAY JENA
Name of Father/Husband: KHAGENDRA
Category: SC
Date of Registration: 5/6/2007
Address:
Villages:
Panchayat: KANCHPADA
Block: SIMULIA
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 17598
Epic No.: OR03016390270
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 BIJAY Male 29 Kalinga Gramya Bank
2 ANUPAMA Female 25
3 NIRUPAMA Female 25
4 PAKILI Female 30
5 Pauli jena Female 37
6 Pakili jena Female 22


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