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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: MH-25-011-140-001/50 Family Id: 50
Name of Head of Household: केशव बळीराम धूळे
Name of Father/Husband: बळीराम धूळे
Category: SC
Date of Registration: 2/3/2006
Address: 43
Villages:
Panchayat: पिंपळगांव ईजारा
Block: PUSAD
District: YAVATMAL(महाराष्ट्र)
Whether BPL Family: NO Family Id: 50
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 केशव ब. धूळे Male 22
2 वकीला के. धूळे Female 19
3 बापूराव ब. धूळे Male 27
4 संगीता बा धूळे Female 21


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