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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-009-002-006/26405 Family Id: 26405
Name of Head of Household: DIPAK RANJAN PALAI
Name of Father/Husband: BANCHHANIDHIA
Category: OTH
Date of Registration: 4/2/2010
Address:
Villages:
Panchayat: MARKONA
Block: SIMULIA
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 26405
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 DIPAK RANJAN PALAI Male 42
2 BANDITA Female 36
3 ALOKMAYEE PALAI Female 42


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