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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: MP-18-005-074-002/173 Family Id: 173
Name of Head of Household: संजय रतनलाल
Name of Father/Husband:
Category: SC
Date of Registration: 4/1/2008
Address:
Villages:
Panchayat: उमरिया खालसा
Block: उजैन
District: उज्जैन(मध्य प्रदेश )
Whether BPL Family: NO Family Id: 173
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 संजय Male 31
2 सरोजबालाबाई Female 29


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