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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: BH-18-014-007-02115300/55 Family Id: 55
Name of Head of Household: कुनकुन पा0
Name of Father/Husband: स्‍व0 बुधु पा0
Category: SC
Date of Registration: 9/1/2006
Address:
Villages:
Panchayat: भगवानपुर कमला
Block: उजीयारपुर
District: SAMASTIPUR(BIHAR)
Whether BPL Family: NO Family Id: 55
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 कुनकुन पा0 Male 43
2 मुनिया देवी Female 40
3 ललित पा0 Male 25
4 शीला देवी Female 22
5 महेशपा0 Male 18
6 सुरेश पा0 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