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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KL-13-007-003-017/3403 Family Id: 3403
Name of Head of Household: ഷാനിഫ
Name of Father/Husband: നിസാം
Category: OTH
Date of Registration: 7/7/2014
Address: 420,വെളിയില് വിളാകം,കൂട്ടിക്കട
Villages:
Panchayat: മയ്യനാട്
Block: മുഖത്തല
District: KOLLAM(KERALA)
Whether BPL Family: NO Family Id: 3403
Epic No.: 933041520712
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ഷാനിഫ Female 37


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