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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-04-067-001-006/13119 Family Id: 13119
Name of Head of Household: MONMATHA PURTY
Name of Father/Husband: MORA PURTY
Category: ST
Date of Registration: 9/3/2014
Address:
Villages:
Panchayat: BAD DALIMA
Block: TIRING
District: MAYURBHANJ(ODISHA)
Whether BPL Family: NO Family Id: 13119
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 MONMATHA PURTY Male 28
2 BALI PURTY Female 25


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