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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-002-013-001/65 Family Id: 65
Name of Head of Household: ಹುಲಿಗೆವ್ವ
Name of Father/Husband: ಶರಣಪ್ಪ ಚೌಡಕಿ
Category: ST
Date of Registration: 7/31/2008
Address: 291
Villages:
Panchayat: ಓಜನಹಳ್ಳಿ
Block: ಕೊಪ್ಪಳ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 65
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶರಣಪ್ಪ Male 60 Bank of India
2 ಹುಲಿಗೆವ್ವ Female 40 Bank of India
3 ಹುಲಿಗೆಮ್ಮ Female 35 Bank of India
4 ಮಾಹಂತೇಶ Male 21 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