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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-12-005-014-003/693 Family Id: 693
Name of Head of Household: ಲೀಲಾವತಿ
Name of Father/Husband: ಪರಮೇಶ್ವರಪ್ಪ
Category: OTH
Date of Registration: 1/16/2014
Address:
Villages:
Panchayat: ಚಟ್ನಹಳ್ಳಿ
Block: ಹೊನ್ನಾಳಿ
District: DAVANAGERE(KARNATAKA)
Whether BPL Family: YES BPL Family No.: 020
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಲೀಲಾವತಿ ಕೋಂ ಪರಮೇಶ್ವರಪ್ಪ Female 40 State Bank of India
2 ಪರಮೇಶ್ವರಪ್ಪ ಬಿನ್ ಚಂದ್ರಶೇಖರಪ್ಪ Male 55 Pragathi Krishna Gramin Bank
3 ಮಂಜುನಾಥ ಬಿನ್ ಪರಮೇಶ್ವರಪ್ಪ Male 24
4 ಭಾಗ್ಯ ಕೋಂ ನಾಗರಾಜ Female 32
5 ಲೀಲಾವತಿ ಕೋಂ ಜಿತೇಂದ್ರ Female 30 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