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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-15-004-002-002/1818 Family Id: 1818
Name of Head of Household: ಭೀಮಶಂಕರ
Name of Father/Husband: ಲಕ್ಷ್ಮಣ ಕುಂಬಾರಹಳ್ಳಿ
Category: OTH
Date of Registration: 4/1/2010
Address:
Villages:
Panchayat: ಅಲ್ಲೂರ(ಬಿ)
Block: ಚಿತಾಪುರ
District: KALABURAGI(KARNATAKA)
Whether BPL Family: NO Family Id: 1818
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಭೀಮಶಂಕರ Male 38 Pragathi Krishna Gramin Bank
2 ಹನಮಂತ Male 40
3 ಜಗದೇವಿ Female 30
4 ಮಹಾದೇವಿ Female 22
5 ಮಹಾದೇವಿ ಭೀಮಶಂಕರ Female 32 Pragathi Krishna Gramin Bank
6 .ಜಗದೇವಿ Female 45 Pragathi Krishna Gramin Bank


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