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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: HR-16-005-030-001/27669 Family Id: 27669
Name of Head of Household: BIRBAL
Name of Father/Husband: RAMCHAN
Category: OTH
Date of Registration: 10/1/2012
Address:
Villages:
Panchayat: MODIA KHERA
Block: NATHUSARI CHOPTA
District: SIRSA(HARYANA)
Whether BPL Family: NO Family Id: 27669 PPP No.:
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 BIRBAL Male 59
2 GORA DEVI Female 57


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