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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-004-026-002/2001 Family Id: 2001
Name of Head of Household: ಶಿವಪುತ್ರಪ್ಪ ನಾಗಪ್ಪ ಯಲಿಗೋಣ್ಣನವರ
Name of Father/Husband: ನಾಗಪ್ಪ
Category: OTH
Date of Registration: 4/1/2013
Address: 400
Villages:
Panchayat: ಇಟಗಿ
Block: ಯಲ್ಬುರ್ಗ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 2001
Epic No.: YHV1037670
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶಿವಪುತ್ರಪ್ಪ Male 40
2 ರತ್ನವ್ವ Female 38
3 ಶಿವಕುಮಾರ Male 22


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