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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KL-11-003-003-013/107 Family Id: 107
Name of Head of Household: വിജയമ്മ
Name of Father/Husband: കുട്ടപ്പന്‍
Category: SC
Date of Registration: 4/1/2011
Address: കാഞ്ഞിതറപുത്തന്‍വീട്
Villages:
Panchayat: മാവേലിക്കര താമരക്കുളം
Block: ഭരണിക്കാവ്
District: ALAPPUZHA(KERALA)
Whether BPL Family: NO Family Id: 107
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 വിജയമ്മ Female 58 State Bank of India
2 കുട്ടപ്പന്‍ Male 68 Federal Bank
3 രാജേഷ് Male 28 State Bank of India


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