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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: GJ-05-003-050-001/21-A Family Id: 0021-A
Name of Head of Household: RATHOD SAVJIBHAI KURJIBHAI
Name of Father/Husband: KURJIBHAI
Category: SC
Date of Registration: 7/18/2008
Address:
Villages:
Panchayat: Talda
Block: KHAMBHA
District: AMRELI(GUJARAT)
Whether BPL Family: NO Family Id: 0021-A
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 RATHOD SAVJIBHAI KURJIBHAI Male 53
2 PRAVINBHAI Male 22
3 VIPUL Male 21
4 RAMBEN Female 24
5 MANJUBEN Female 19
6 VIPUL Male 18


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