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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: MH-31-005-013-001/209 Family Id: 209
Name of Head of Household: आत्‍माराम भगा कोळी
Name of Father/Husband: भगा कोळी
Category: ST
Date of Registration: 2/15/2006
Address:
Villages:
Panchayat: काथर्दे खुर्द
Block: Shahada
District: NANDURBAR(महाराष्ट्र)
Whether BPL Family: NO Family Id: 209
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 आत्‍माराम भगा कोळी Male 35
2 आशाबाई आत्‍माराम कोळी Female 30
3 आना आत्‍माराम कोळी Male 25


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