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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-010-021-014/7963 Family Id: 7963
Name of Head of Household: LAXMIDHARA SHATPATHI
Name of Father/Husband: gobardhan
Category: OTH
Date of Registration: 9/21/2007
Address:
Villages:
Panchayat: SHYAMSUNDARPUR
Block: KHAIRA
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 7963
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 LAXMIDHARA SHATPATHI Male 47 Bank of India
2 PANKAJINI Female 40 Odisha Gramya Bank
3 RATIKANTA. Male 23


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