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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KL-13-011-001-004/190 Family Id: 190
Name of Head of Household: ജോക്കബ് തോമസ്
Name of Father/Husband: തോമസ്
Category: OTH
Date of Registration: 9/4/2012
Address: 269,ഇമ്മാനുവേല്‍ ഹൌസ്,കുളക്കട കിഴക്ക്(പി.ഒ
Villages:
Panchayat: കുളക്കട
Block: വെട്ടിക്കവല
District: KOLLAM(KERALA)
Whether BPL Family: YES BPL Family No.: ,
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ജോക്കബ് തോമസ് Male 45
2 ഡേയ്സിജേക്കബ് Female 42


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