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FORM NO. 5 (See Rule 6 )
Acknowledgement receipt of application for employment under the E.G.S.
Received application dt..................from..............................................r/o village ............................Panchayat Samiti .......................................demanding employment under the E.G.S. His name is registered for employment under the Scheme in village............................His registration number is..................and dt. of regn. is..............
Place-.......................... Date-.............................. Signature & designation of Officer receiving the application.
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