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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-005-021-005/42220 Family Id: 42220
Name of Head of Household: MINATI GIRI
Name of Father/Husband: BAIKUNTHA
Category: OTH
Date of Registration: 8/22/2007
Address:
Villages:
Panchayat: MANDARSAHI
Block: BHOGRAI
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 42220
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 MINATI GIRI Female 29 State Bank of India
2 BIJAY Male 29
3 PRAFULLA Male 63
4 SANDHYA Female 55
5 BAIKUNTHA Male 36 State Bank of India
6 PRADIP Male 43
7 ANNAPURNA Female 36


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