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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-002-013-002/141-A Family Id: 141-A
Name of Head of Household: ಕಲಾವತಿ ಗಂಡ ದುರಗಪ್ಪ ಜೋಗಿ
Name of Father/Husband: ದುರಗಪ್ಪ ಜೋಗಿ
Category: OTH
Date of Registration: 1/1/2014
Address: 89
Villages:
Panchayat: ಓಜನಹಳ್ಳಿ
Block: ಕೊಪ್ಪಳ
District: KOPPAL(KARNATAKA)
Whether BPL Family: YES BPL Family No.: KPL14110630
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಕಲಾವತಿ ಗಂಡ ದುರಗಪ್ಪ ಜೋಗಿ Female 28
2 ದುರಗಪ್ಪ ತಂದೆ ಗಾಳೇಪ್ಪ ಜೋಗಿ Male 35


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