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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KL-10-010-006-006/191 Family Id: 191
Name of Head of Household: പൊന്നമ്മ
Name of Father/Husband: പുരുഷോത്തമന്‍
Category: OTH
Date of Registration: 2/8/2012
Address: 276,കിടങ്ങിന്‍,വെച്ചൂര്‍
Villages:
Panchayat: വെച്ചൂര്‍
Block: വൈക്കം
District: KOTTAYAM(KERALA)
Whether BPL Family: NO Family Id: 191
Epic No.: KTZ1371095
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 പുരുഷോത്തമന്‍ Male 58
2 പൊന്നമ്മ Female 45
3 പ്രവീണ്‍ Male 23
4 പ്രദീഷ് Male 18


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