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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-009-006-001/7063 Family Id: 7063
Name of Head of Household: JAGABANDHU BEHERA
Name of Father/Husband: BHAGABAN
Category: OTH
Date of Registration: 5/6/2007
Address:
Villages:
Panchayat: BATI
Block: SIMULIA
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 7063
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 JAGABANDHU BEHERA Male 60 State Bank of India
2 SUMATI Female 58
3 KAILASH CHANDRA Male 31


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