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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-010-018-003/78561 Family Id: 78561
Name of Head of Household: BASANTA DAS
Name of Father/Husband: BABAJI
Category: SC
Date of Registration: 4/1/2017
Address:
Villages:
Panchayat: NAYAKHANDI
Block: KHAIRA
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 78561
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 BASANTA Male 30
2 BARSHARANI Female 28


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