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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KL-13-011-001-002/365 Family Id: 365
Name of Head of Household: ഓമന
Name of Father/Husband: സുരേന്ദ്രന്‍ എസ്
Category: SC
Date of Registration: 2/15/2018
Address: 621,പെരുംമ്പളളില്‍ പടിഞ്ഞാറേപ്പുര,കുളക്കട കിഴക്ക്(
Villages:
Panchayat: കുളക്കട
Block: വെട്ടിക്കവല
District: KOLLAM(KERALA)
Whether BPL Family: YES BPL Family No.: ..
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ഓമന Female 64
2 സുരേന്ദ്രന്‍ എസ് Male 66
3 ദീപാകുമാരി എസ് 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