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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: GJ-15-009-006-001/211192-B Family Id: 211192-B
Name of Head of Household: RATHVA CHANDUBHAI
Name of Father/Husband: RATHVA MITHIYABHAI
Category: ST
Date of Registration: 3/14/2012
Address:
Villages:
Panchayat: Bhorda
Block: CHHOTA UDAIPUR
District: VADODARA(GUJARAT)
Whether BPL Family: NO Family Id: 211192-B
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 RATHVA CHANDUBHAI MITHIYABHAI Male 52 State Bank of India
2 VESTIBEN CHANDUBHAI Female 46 State Bank of India
3 KARMSINGBHAI CHANDUBHAI Male 35 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