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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-30-002-016-004/6814 Family Id: 6814
Name of Head of Household: RAGHUNATH BHATRA
Name of Father/Husband: GURUDAS BHATRTA
Category: ST
Date of Registration: 4/1/2017
Address:
Villages:
Panchayat: MODEIGAM
Block: KOSAGUMUDA
District: NABARANGAPUR(ODISHA)
Whether BPL Family: YES BPL Family No.: 6814
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 RAGHUNATH BHATRA Male 58 Bank of Baroda
2 KANAKDEI BHATRA Female 55
3 CHAITAN BHATARA Male 45
4 GANGAI BHATARA Female 42


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