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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: GJ-15-009-031-001/218101-A Family Id: 218101-A
Name of Head of Household: NAYKA KULSINGBHAI
Name of Father/Husband: PONCHALABHAI
Category: ST
Date of Registration: 9/2/2009
Address:
Villages:
Panchayat: Palsanda
Block: CHHOTA UDAIPUR
District: VADODARA(GUJARAT)
Whether BPL Family: NO Family Id: 218101-A
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 KULSINGBHAI Male 55
2 KOKILABEN Female 54
3 GOVINDBHAI Male 45
4 CHANDIBEN Female 43


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