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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-017-001/1673 Family Id: 1673
Name of Head of Household: ಪ್ರಶಾಂತ ಶಾಂತಪ್ಪ ಮದರಕೋರ
Name of Father/Husband: ಶಾಂತಪ್ಪ ಮದರಕೋರ
Category: ST
Date of Registration: 11/11/2019
Address:
Villages:
Panchayat: ತಳುವಗೇರಾ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 1673
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಪ್ರಶಾಂತ ಶಾಂತಪ್ಪ ಮದರಕೋರ Male 20


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