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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: MH-25-011-140-001/68 Family Id: 68
Name of Head of Household: धर्मा चंदू चव्‍हाण
Name of Father/Husband: चंदू चव्‍हाण
Category: OTH
Date of Registration: 2/4/2006
Address: 239
Villages:
Panchayat: पिंपळगांव ईजारा
Block: PUSAD
District: YAVATMAL(महाराष्ट्र)
Whether BPL Family: NO Family Id: 68
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 धर्मा चंदू चव्‍हाण Male 62
2 मारोती धर्मा चव्‍हाण Male 57
3 विष्‍णू धर्मा चव्‍हाण Male 30
4 सूनिता विष्‍णू चव्‍हाण Female 24


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