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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-04-046-009-005/26055 Family Id: 26055
Name of Head of Household: LAXMIDHAR MOHANTA
Name of Father/Husband: KALI CHARAN MOHANTA
Category: OTH
Date of Registration: 8/28/2006
Address:
Villages:
Panchayat: DIGHI
Block: BANGRIPOSI
District: MAYURBHANJ(ODISHA)
Whether BPL Family: NO Family Id: 26055
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 LAXMIDHAR MOHANTA Male 48 Bank of India
2 LAXMI MOHANTA Female 38 Bank of India
3 BENUDHAR MOHANTA Male 23


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