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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-019-005-004/12191 Family Id: 12191
Name of Head of Household: BHASKAR BEHERA
Name of Father/Husband: GOPAL
Category: OTH
Date of Registration: 5/3/2007
Address:
Villages:
Panchayat: ISWARPUR
Block: OUPADA
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 12191
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 BHASKAR BEHERA Male 53
2 RAMBHAMANI Female 50
3 KUNIMANI Female 26


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