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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: MH-25-011-255-001/78 Family Id: 78
Name of Head of Household: शिवाजी दत्‍ता बेले
Name of Father/Husband: दत्‍ता बेले
Category: ST
Date of Registration: 2/9/2006
Address: 52
Villages:
Panchayat: धानोरा ईजारा
Block: PUSAD
District: YAVATMAL(महाराष्ट्र)
Whether BPL Family: NO Family Id: 78
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 शिवाजी दत्‍ता बेले Male 48
2 देवका शि. बेले Female 43
3 दिनेश शि. बेले Male 22


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