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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: TS-21-012-025-018/010793 Family Id: 010793
Name of Head of Household: Sampat BOKKALA
Name of Father/Husband: BOKKALA
Category: SC
Date of Registration: 8/14/2012 1:54:53 PM
Address: Liaberthy
Villages:
Panchayat: LIABERTHY
Block: WARDHANNAPET
District: Warangal(Telangana)
Whether BPL Family: NO Family Id: 010793
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 Sampat Male 24
2 Srilatha Female 27


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