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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KL-13-005-002-017/2310 Family Id: 2310
Name of Head of Household: കമലമ്മ
Name of Father/Husband: കുമാരന്‍
Category: OTH
Date of Registration: 8/6/2012
Address: പടിഞ്ഞാറ്റെ കാട്ടഴികം
Villages:
Panchayat: ചാത്തന്നൂര്‍
Block: ഇത്തിക്കര
District: KOLLAM(KERALA)
Whether BPL Family: YES BPL Family No.: .
Epic No.: 18/126/087382
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 കമലമ്മ Female 60 State Bank Of India
2 കുമാരന്‍ Male 62 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