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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-12-001-054-001/116 Family Id: 116
Name of Head of Household: ಹೆಚ್.ತಿಪ್ಪೇಶಪ್ಪ
Name of Father/Husband: ಹಾಲಪ್ಪ
Category: ST
Date of Registration: 8/17/2009
Address:
Villages:
Panchayat: ಹರೋನಹಳ್ಳಿ
Block: ಚನ್ನಗಿರಿ
District: DAVANAGERE(KARNATAKA)
Whether BPL Family: NO Family Id: 116
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಹೆಚ್.ತಿಪ್ಪೇಶಪ್ಪ Male 40 Canara Bank
2 ಹಾಲಪ್ಪ Male 50 Canara Bank
3 ಚಂದ್ರಮ್ಮ Female 35 Canara Bank
4 ಲಕ್ಷ್ಮಿದೇವಿ Female 20 Canara 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