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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-12-003-008-003/456 Family Id: 456
Name of Head of Household: ಕೆ.ಪಿ.ಮುನಿಂದ್ರ
Name of Father/Husband: ಪರಮೇಶ್ವರಪ್ಪ
Category: OTH
Date of Registration: 10/9/2009
Address:
Villages:
Panchayat: ಕೊಂಡಜ್ಜಿ
Block: ಹರಿಹರ
District: DAVANAGERE(KARNATAKA)
Whether BPL Family: NO Family Id: 456
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಕೆ.ಪಿ.ಮುನಿಂದ್ರ Male 30
2 ಶಶಿ ಕುಮಾರ ಕೆ.ಪಿ. Male 25
3 ಪಾವಱತಮ್ಮ Female 48
4 ಮಲ್ಲಮ್ಮ Female 48


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