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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-019-001-020/9833 Family Id: 9833
Name of Head of Household: MADHUSUDAN MALLICK
Name of Father/Husband: BIKARTTAN
Category: SC
Date of Registration: 7/1/2007
Address:
Villages:
Panchayat: DAKHINA NARASINGPUR
Block: OUPADA
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 9833
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 MADHUSUDAN MALLICK Male 41 State Bank of India
2 RAMAMANI Female 35 State Bank of India
3 MANAS RANJAN Male 21 UCO Bank
4 DEBENDRA Male 19 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