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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: MP-19-004-015-002/119 Family-Id: 119
Name of Head of Household: तोलाराम
Name of Father/Husband: भैया
Category: ST
Date of Registration: 4/1/2008
Address: 741
Villages:
Panchayat: सामगीमाना
Block: आगर
District: शाजापुर(मध्य प्रदेश )
: NO Family-Id: 119
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 तोलाराम Male 60
2 कंचन Female 55


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