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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-010-021-013/34011 Family Id: 34011
Name of Head of Household: Ratnakara Jena
Name of Father/Husband: MUSHA JENA
Category: OTH
Date of Registration: 8/17/2019
Address:
Villages:
Panchayat: SHYAMSUNDARPUR
Block: KHAIRA
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 34011
Epic No.: KTH1447085
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 Ratnakara Jena Male 57
2 LAXMIPRIYA JENA Female 53
3 PRASHANTA KUMAR JENA Male 21


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