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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: MP-18-001-097-001/175 Family-Id: 175
Name of Head of Household: गोकूल जी मोतीराम
Name of Father/Husband: N
Category: OTH
Date of Registration: 4/1/2008
Address: १३५
Villages:
Panchayat: पिपल्याडाबी
Block: खचरोद
District: उज्जैन(मध्य प्रदेश )
: NO Family-Id: 175
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 गोकूल Male 42
2 मांगू बाई Female 36
3 चेतन Male 19


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