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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: OR-01-029-004-010/17367 Family Id: 17367
Name of Head of Household: JUGAL SAMAL
Name of Father/Husband: SANKHALI
Category: OTH
Date of Registration: 9/10/2023
Address:
Villages:
Panchayat: GHOSARMAL
Block: NAKTIDEUL
District: SAMBALPUR(ODISHA)
Whether BPL Family: NO Family Id: 17367
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 JUGAL SAMAL Male 41
2 DEBAKI SAMAL 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