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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: MP-42-005-014-001/387 Family Id: 387
Name of Head of Household: लोटन सेनपत
Name of Father/Husband: N
Category: OTH
Date of Registration: 3/7/2006
Address: 21
Villages:
Panchayat: दोंदवाड़+ा
Block: पान्सेमल
District: बडवानी (मध्य प्रदेश )
Whether BPL Family: NO Family Id: 387
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 लोटन सेनपत Male 48 State Bank of India
2 सुंदरबाई Female 43
3 रत्नाबाई Female 19
4 कैलाश Male 27 State Bank of India
5 अनिता Female 24 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