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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-010-024-002/12650 Family Id: 12650
Name of Head of Household: PAKA BEHERA
Name of Father/Husband: GOURI
Category: OTH
Date of Registration: 7/7/2007
Address:
Villages:
Panchayat: DAGARPADA
Block: KHAIRA
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 12650
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 PAKA BEHERA Female 58
2 MANJULATA Female 20
3 PRABHAKARA Male 19


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