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Job card
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MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
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Job card No.:
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KN-12-005-014-001/18-A
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Family Id:
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18-A
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Name of Head of Household:
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ದಾಕ್ಷಾಯಣಮ್ಮ
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Name of Father/Husband:
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ಕರಿಬಸಪ್ಪ
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Category:
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OTH
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Date of Registration:
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1/1/2014
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Address:
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Villages:
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Panchayat:
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ಚಟ್ನಹಳ್ಳಿ
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Block:
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ಹೊನ್ನಾಳಿ
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District:
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DAVANAGERE(KARNATAKA)
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Whether BPL Family:
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NO
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Family Id:
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18-A
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Epic No.:
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Details of the Applicants of the household willing
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S.No
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Name of Applicant
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Gender
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Age
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Bank/Postoffice
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1
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ದಾಕ್ಷಾಯಣಮ್ಮ ಕೋಂ ಕರಿಬಸಪ್ಪ
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Female
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45
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State Bank of India
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2
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ಕರಿಬಸಪ್ಪ ಬಿನ್ ತೀರ್ಥಪ್ಪ
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Male
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50
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3
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ರವಿಕುಮಾರ ಬಿನ್ ಕರಿಬಸಪ್ಪ
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Male
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32
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State Bank of India
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4
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ಅಶೋಕ ಬಿನ್ ಕರಿಬಸಪ್ಪ
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Male
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30
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5
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ದಿನೇಶ ಬಿನ್ ಕರಿಬಸಪ್ಪ
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Male
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25
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Signature/Thumb impression of Applicant
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Seal & Signature of Registering Authority
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