Published on National Portal of India (india.gov.in) ANNEXURE B-1 DETAILS NEEDED FOR APPLICATION FOR REGISTRATION UNDER EGS Registration No. (to be assigned by Gram Panchayat) 1. Names/Age/Sex of Applicants SexS.No. Name Age (i) FemaleMale (ii) (iii) FemaleMale Male Female 2. Name of Village: 3. Name of Gram Panhayat: 4. Name of Block: 5. SC/ ST/ IAY/ LR. Beneficiary I/We certify that the particulars given above are correct Specimen Signature/ Thumb impression of adult Mebers willing to work. GOVERNMENT OF JHARKHAND DEPARTMENT OF RURAL DEVELOPMENT
