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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-009-003-003/111256 Family Id: 111256
Name of Head of Household: Tilatama barik
Name of Father/Husband: Rabindra
Category: OTH
Date of Registration: 6/1/2022
Address: 325
Villages:
Panchayat: BAURIPADA
Block: SIMULIA
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 111256
Epic No.: 56655
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 Tilatama barik Female 25


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