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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-010-015-003/20832 Family Id: 20832
Name of Head of Household: PURNACHANDRA BEHERA
Name of Father/Husband: DASARATHI
Category: OTH
Date of Registration: 8/7/2007
Address:
Villages:
Panchayat: MAKHANPUR
Block: KHAIRA
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 20832
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 PURNACHADRA Male 57
2 REBATI Female 50


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