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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-30-004-017-003/30494 Family Id: 30494
Name of Head of Household: GOPI SANTA
Name of Father/Husband: MANI
Category: ST
Date of Registration: 2/2/2010
Address:
Villages:
Panchayat: KUTRICHHAPAR
Block: JHORIGAM
District: NABARANGAPUR(ODISHA)
Whether BPL Family: NO Family Id: 30494
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 GOPI SANTA Male 35 State Bank of India
2 KAMALA SANTA Female 33 State Bank of India


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