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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: MP-42-005-002-002/111 Family Id: 111
Name of Head of Household: सन्या गोविन्दा
Name of Father/Husband: N
Category: SC
Date of Registration: 3/7/2006
Address: 136
Villages:
Panchayat: आमझिरी
Block: पान्सेमल
District: बडवानी (मध्य प्रदेश )
Whether BPL Family: NO Family Id: 111
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 सन्या गोविन्दा Male 63
2 मिश्रीबाई Female 61
3 तात्या Male 21
4 मिरखीबाई Female 20


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