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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: HR-16-007-022-001/3958 Family Id: 3958
Name of Head of Household: GOMAD RAM
Name of Father/Husband: BALU RAM
Category: OTH
Date of Registration: 5/5/2006
Address:
Villages:
Panchayat: KHARI SURERA
Block: ELLENABAD
District: SIRSA(HARYANA)
Whether BPL Family: YES BPL Family No.: 3958 PPP No.:
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 GOMAD RAM Male 61 Oriental Bank of Commerce
2 GUDI Female 60
3 VED PARKASH Male 22
4 SUMAN Female 20


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