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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: HR-16-005-045-001/404539 Family Id: 404539
Name of Head of Household: Surjit
Name of Father/Husband: Bhagvana
Category: OTH
Date of Registration: 4/1/2011
Address:
Villages:
Panchayat: SHERPURA
Block: NATHUSARI CHOPTA
District: SIRSA(HARYANA)
Whether BPL Family: NO Family Id: 404539 PPP No.:
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 Surjit Male 42
2 Savitri Female 40


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