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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-12-005-014-003/119-A Family-Id: 119-A
Name of Head of Household: ಹಾಲೇಶಪ್ಪ
Name of Father/Husband: ಬಸವಣ್ಯಪ್ಪ
Category: OTH
Date of Registration: 7/3/2023
Address: 30
Villages:
Panchayat: ಚಟ್ನಹಳ್ಳಿ
Block: ಹೊನ್ನಾಳಿ
District: DAVANAGERE(KARNATAKA)
: YES BPL Family No.: 30
Epic No.: 30
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಹಾಲೇಶಪ್ಪ ಬಿನ್ ಬಸವಣ್ಯಪ್ಪ Male 48 State Bank of India
2 ಹೇಮಾವತಿ ಕೋಂ ಹಾಲೇಶಪ್ಪ Female 45 State Bank of India


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