FORM - I APPLICATION FOR REGISTRATION OF A CANDIDATE UNDER EMPLOYMENT GUARANTEE SCHEME (EGS) 1. Name/Age/Sex of applicant/s S.No. Name Age Sex. 2. Name of village ______________________________ 3. Name of Panchayat ___________________________ 4. Name of Block _______________________________ 5. SC/ST/IAY/LR Beneficiary ______________________________ Details of the applicants of the households willng to work : S.No. Name of the Age Relation Household member. W with applicant. ____ ________________________ _______ _________ We certify that the particulars given above are correct. Signature.
