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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: MH-25-011-234-001/213 Family Id: 213
Name of Head of Household: भिकाजी बळीराम कूरकूटे
Name of Father/Husband: बळीराम कूरकूटे
Category: ST
Date of Registration: 2/11/2006
Address: 110
Villages:
Panchayat: दहीवड(बु)
Block: PUSAD
District: YAVATMAL(महाराष्ट्र)
Whether BPL Family: NO Family Id: 213
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 भिकाजी ब. कूरकूटे Male 40
2 हरणाबाई भिकाजी कूरकूटे Female 35


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