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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: MP-05-007-042-001/52 Family Id: 52
Name of Head of Household: LAJJAYARAM ADIWASI
Name of Father/Husband: PANNA ADIWASI
Category: ST
Date of Registration: 2/27/2006
Address: 92
Villages:
Panchayat: खैरवास
Block: पिचोरे
District: शिवपुरी (मध्य प्रदेश )
Whether BPL Family: YES BPL Family No.: 52
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 पन्ना Male 35
2 शान्ति Female 33
3 पतिया Female 53
4 राकेश Male 32
5 फूलबती Female 30 State Bank of India
6 लज्‍याराम Male 22
7 LAJJAYARAM ADIWASI Male 26 State Bank of India


Signature/Thumb impression of Applicant
                  
Seal & Signature of Registering Authority

Requested Period of Employment

S.No Demand Id Name of Applicant Month & Date from which employment requested No of Days
1 270073 LAJJAYARAM ADIWASI 05/07/2017~~09/07/2017~~5 5
2 270072 फूलबती 05/07/2017~~09/07/2017~~5 5

Period and Work on which Employment Offered

S.No Demand Id Name of Applicant Month & Date from which employment requested No of Days Work Name
1 270073 LAJJAYARAM ADIWASI 05/07/2017~~09/07/2017~~5 5 Construction of IAY House -IAY REG. NO. MP2375867 (1705007042/IF/IAY/745134)
2 270072 फूलबती 05/07/2017~~09/07/2017~~5 5 Construction of IAY House -IAY REG. NO. MP2375867 (1705007042/IF/IAY/745134)

Period and Work on which Employment Given

S.No Name of Applicant Month & Date from which employment requested No of Days Work Name MSR No. Total Amount of Work Done Payment Due
1 LAJJAYARAM ADIWASI 05/07/2017 5 Construction of IAY House -IAY REG. NO. MP2375867 (1705007042/IF/IAY/745134) 5370 860 0
2 फूलबती 05/07/2017 5 Construction of IAY House -IAY REG. NO. MP2375867 (1705007042/IF/IAY/745134) 5370 860 0
Sub Total FY 1718 10 1720 0