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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KL-11-003-003-003/195 Family Id: 195
Name of Head of Household: അമ്പിളി
Name of Father/Husband: ഹരിദാസ്
Category: SC
Date of Registration: 1/8/2013
Address: വലിയപടീറ്റതില്‍‌
Villages:
Panchayat: മാവേലിക്കര താമരക്കുളം
Block: ഭരണിക്കാവ്
District: ALAPPUZHA(KERALA)
Whether BPL Family: YES BPL Family No.: 197
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 അമ്പിളി Female 29 State Bank of India
2 ഹരിദാസ് Male 39


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