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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-004-026-002/104-B Family Id: 104-B
Name of Head of Household: ಹುಸೇನಬಿ ಇಮಾಮಸಾಬ ಯಲಿಗಾರ
Name of Father/Husband: ಹುಸೇನಬಿ ಇಮಾಮಸಾಬ ಯಲಿಗಾರ
Category: OTH
Date of Registration: 10/25/2013
Address: 0
Villages:
Panchayat: ಇಟಗಿ
Block: ಯಲ್ಬುರ್ಗ
District: KOPPAL(KARNATAKA)
Whether BPL Family: YES BPL Family No.: YEL14122669
Epic No.: KT/04/027/471076
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಹಸನಸಾಬ Male 55
2 ಹುಸೇನಬಿ Female 45
3 ಖಾಸಿಂಸಾಬ Male 40
4 ಅಲ್ಲಾಸಾಬ Male 30
5 ಮೀರಾನ Female 28
6 ನೂರಜಾನಬಿ Female 28
7 ಹುಸೇನಬಿ Female 45


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