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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-010-010-016/5053 Family Id: 5053
Name of Head of Household: SHAMSUNDAR PATRA
Name of Father/Husband: Jagabandhu
Category: OTH
Date of Registration: 4/1/2010
Address:
Villages:
Panchayat: GOVINDPUR
Block: KHAIRA
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 5053
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 JANJALI Female 76
2 SHAMSUNDAR PATRA Male 55
3 ARTI Female 44
4 GITARANI Female 21


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