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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: GJ-15-009-038-001/137833 Family Id: 137833
Name of Head of Household: rathva goslabhai
Name of Father/Husband: dhanabhai
Category: SC
Date of Registration: 5/12/2008
Address:
Villages:
Panchayat: Surkheda
Block: CHHOTA UDAIPUR
District: VADODARA(GUJARAT)
Whether BPL Family: YES BPL Family No.: 3282711-12
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 goslabhai Male 45
2 kachliben Female 43


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