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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: MH-25-011-255-001/139 Family Id: 139
Name of Head of Household: शंकर जयराम बूरकूले
Name of Father/Husband: जयराम बूरकूले
Category: ST
Date of Registration: 2/8/2006
Address: 116
Villages:
Panchayat: धानोरा ईजारा
Block: PUSAD
District: YAVATMAL(महाराष्ट्र)
Whether BPL Family: NO Family Id: 139
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 शकर ज. बूरकूले Male 56
2 बारकाबाई शकर बूरकूले Female 40
3 प्रकाश शकंर बूरकूले Male 35
4 अजंना प्र. बूरकूले Female 27
5 यूवराज प्रकाश बूरकूले Male 20


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