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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: GJ-15-009-019-001/131197-A Family Id: 131197-A
Name of Head of Household: HARIJAN RAMESHBHAI
Name of Father/Husband: MANUBHAI
Category: ST
Date of Registration: 12/12/2009
Address:
Villages:
Panchayat: Ghelvant
Block: CHHOTA UDAIPUR
District: VADODARA(GUJARAT)
Whether BPL Family: YES BPL Family No.: 11194522
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 HARIJAN RAMESHBHAI Male 44
2 HARIJAN MONTIBEN Female 42
3 HARIJAN PANDIBEN Female 60


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