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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: MH-25-011-072-001/3 Family Id: 3
Name of Head of Household: प्रल्‍हाद नामादेव चव्‍हाण
Name of Father/Husband: नामदेव चव्‍हाण
Category: SC
Date of Registration: 2/4/2006
Address: 377
Villages:
Panchayat: रोहडा
Block: PUSAD
District: YAVATMAL(महाराष्ट्र)
Whether BPL Family: NO Family Id: 3
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 प्रल्‍हाद ना. चव्‍हाण Male 55
2 कांता प्र. चव्‍हाण Female 50
3 बाळू प्र. चव्‍हाण Male 22


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