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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-05-019-006-001/17243 Family Id: 17243
Name of Head of Household: SURENDRA BEHERA
Name of Father/Husband: PURASTTAM
Category: OTH
Date of Registration: 4/7/2016
Address:
Villages:
Panchayat: TALAKIA
Block: OUPADA
District: BALESHWAR(ODISHA)
Whether BPL Family: NO Family Id: 17243
Epic No.: 03017110260
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 SURENDRA BEHERA Male 55 UCO Bank
2 SANTILATA BEHERA Female 50
3 SATRUGHNA BEHERA Male 18
4 LAXMAN BEHERA Male 33 UCO Bank
5 URMILA BEHERA Female 30 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