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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: GJ-15-008-016-001/257076 Family Id: 257076
Name of Head of Household: KOLI JAGUBHAI B
Name of Father/Husband: BHIUKHABHAI
Category: ST
Date of Registration: 9/15/2010
Address:
Villages:
Panchayat: CHUDEL
Block: JETPUR PAVI
District: VADODARA(GUJARAT)
Whether BPL Family: NO Family Id: 257076
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 KOLI JAGUBHAI B Male 30
2 VIDHIYABEN J Female 28


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