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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: GJ-15-009-025-001/118431-A Family Id: 118431-A
Name of Head of Household: RAHAVA CHAKIBEN
Name of Father/Husband: RATHAVA VESATBHAI
Category: ST
Date of Registration: 4/15/2009
Address: 185
Villages:
Panchayat: Kikavada
Block: CHHOTA UDAIPUR
District: VADODARA(GUJARAT)
Whether BPL Family: YES BPL Family No.: 6794302
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 CHAKIBEN Female 53
2 VECHIBEN Female 27


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