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Deleted on Date 31/08/2012

Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: CH-05-009-016-001/35-A Family Id: 35-A
Name of Head of Household: बेलसाय
Name of Father/Husband: बोलई राम
Category: OTH
Date of Registration: 6/2/2006
Address:
Villages:
Panchayat: Tilsiva
Block: SURAJPUR
District: SURGUJA(CHHATTISGARH)
Whether BPL Family: NO Family Id: 35-A
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 बेलसाय Male 36
2 शकुन्तला Female 33
3 Kulsundari Female 30
4 धनेशिया Female 32
5 दिनंदन Male 20
6 Hemsay Female 32


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