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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-005-021-004/41393 Family Id: 41393
Name of Head of Household: DEBENDRA JENA
Name of Father/Husband: RAGHUNATH
Category: SC
Date of Registration: 5/26/2007
Address:
Villages:
Panchayat: MANDARSAHI
Block: BHOGRAI
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 41393
Epic No.: OR02011236145
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 DEBENDRA JENA Male 47 UCO Bank
2 ANNAPURNA Female 42 UCO Bank


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