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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: GJ-15-009-019-003/4-A Family Id: 4-A
Name of Head of Household: RATHAVA KALIYABHAI
Name of Father/Husband: BHUDARIYABHAI
Category: ST
Date of Registration: 11/16/2008
Address:
Villages:
Panchayat: Ghelvant
Block: CHHOTA UDAIPUR
District: VADODARA(GUJARAT)
Whether BPL Family: NO Family Id: 4-A
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 RATHAVA KALIYABHAI BHUDARIYABHAI Male 55
2 RATHAVA BOMALIBEN KALIYABHAI Female 53
3 RATHAVA SURESHBHAI KALIYABHAI Male 20
4 RATHAVA CHAMPABEN SURESHBHAI Female 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