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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: GJ-05-003-014-001/79-C Family Id: 0079-C
Name of Head of Household: VALIBEN BHIKHABHAI BALIYA
Name of Father/Husband: BHIKHABHAI
Category: OTH
Date of Registration: 8/1/2008
Address:
Villages:
Panchayat: Dedan
Block: KHAMBHA
District: AMRELI(GUJARAT)
Whether BPL Family: NO Family Id: 0079-C
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 VALIBEN BHIKHABHAI BALIYA Female 52
2 CHHANABHAI Male 31
3 SAMJUBEN Female 29
4 MAHESH Male 21


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