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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: GJ-05-003-014-001/763 Family Id: 763
Name of Head of Household: KURESHI AHEMAD BHAI JIVA BHAI
Name of Father/Husband: JIVA BHAI
Category: OTH
Date of Registration: 8/1/2008
Address: 14
Villages:
Panchayat: Dedan
Block: KHAMBHA
District: AMRELI(GUJARAT)
Whether BPL Family: YES BPL Family No.: 1162585
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 AHEMAD BHAI Male 41
2 NAZMA BEN Female 37
3 EZAZ BHAI Male 21
4 NAZNIN BEN Female 18


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