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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: MP-18-001-055-001/145 Family Id: 145
Name of Head of Household: बगदीराम शंकरलान
Name of Father/Husband: N
Category: OTH
Date of Registration: 4/1/2008
Address: १४२
Villages:
Panchayat: बागेडी
Block: खचरोद
District: उज्जैन(मध्य प्रदेश )
Whether BPL Family: YES BPL Family No.: 145
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 बगदीराम Male 61
2 चदरबाई Female 56
3 संजय Male 28
4 सिमा Female 24


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