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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-020-003/10124 Family Id: 10124
Name of Head of Household: ಸಂಜೀವಪ್ಪ ಬಾಗಲೆಪ್ಪ
Name of Father/Husband: ಬಾಗಲೆಪ್ಪ
Category: OTH
Date of Registration: 3/1/2019
Address: 73
Villages:
Panchayat: ಕ್ಯಾದಿಗುಪ್ಪಾ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 10124
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಸಂಜೀವಪ್ಪ Male 24
2 ಈರಮ್ಮ Female 22 India Post Payments Bank
3 ಶಿವಪ್ಪ ಬಾಗಲೆಪ್ಪ ವನಗೇರಿ Male 25


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