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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-018-008/1254 Family Id: 1254
Name of Head of Household: ಬಸವರಾಜ ತಂ ವಿರಪನಗೌಡ ವಂಕಲಕುಂಟಿ
Name of Father/Husband: ವಿರಪನಗೌಡ ವಂಕಲಕುಂಟಿ
Category: OTH
Date of Registration: 6/1/2020
Address: 111
Villages:
Panchayat: ಬಿಜಕಲ್ಲ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: YES BPL Family No.: KUSR00129769
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಬಸವರಾಜ ತಂ ವಿರಪನಗೌಡ ವಂಕಲಕುಂಟಿ Male 48
2 ಪಾರ್ವತೇಮ್ಮ Female 45


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