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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: GJ-05-003-014-001/915 Family Id: 915
Name of Head of Household: MODI HARESHBHAI VALBHABHAI
Name of Father/Husband: VALBHABHAI
Category: OTH
Date of Registration: 7/26/2009
Address: 67
Villages:
Panchayat: Dedan
Block: KHAMBHA
District: AMRELI(GUJARAT)
Whether BPL Family: NO Family Id: 915
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 HARESHBHAI Male 45
2 PADAMABEN Female 42
3 RITHABEN Female 20
4 SONALBEN Female 19
5 KALPESHBHAI Male 18


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