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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: CH-14-006-055-001/375 Family Id: 375
Name of Head of Household: HET RAM
Name of Father/Husband: DHANI RAM
Category: OTH
Date of Registration: 4/14/2007
Address:
Villages:
Panchayat: KOSMANDA
Block: BALAUDA
District: JANJGIR-CHAMPA(CHHATTISGARH)
Whether BPL Family: NO Family Id: 375
Epic No.: `
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 HET RAM Male 35
2 SAVITRI Female 32


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