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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: GJ-15-009-024-001/25391 Family Id: 25391
Name of Head of Household: RATHAVA GUJIYABHAI
Name of Father/Husband: KHUMSHINGBHAI
Category: ST
Date of Registration: 5/16/2008
Address:
Villages:
Panchayat: Khadkhad
Block: CHHOTA UDAIPUR
District: VADODARA(GUJARAT)
Whether BPL Family: YES BPL Family No.: 3288575
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 GUJIYABHAI Male 42
2 MOJALIBEN Female 41
3 JIRIBHAI Male 22
4 RESHLIBEN Female 21


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