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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-12-005-014-003/711 Family Id: 711
Name of Head of Household: ಕುಮಾರನಾಯ್ಕ
Name of Father/Husband: ದೇವ್ಲನಾಯ್ಕ
Category: SC
Date of Registration: 3/16/2017
Address: 20
Villages:
Panchayat: ಚಟ್ನಹಳ್ಳಿ
Block: ಹೊನ್ನಾಳಿ
District: DAVANAGERE(KARNATAKA)
Whether BPL Family: YES BPL Family No.: 20
Epic No.: 20
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಕುಮಾರನಾಯ್ಕ ಬಿನ್ ದೇವ್ಲನಾಯ್ಕ Male 45 State Bank of India
2 ಜಾನುಬಾಯಿ ಕೋಂ ಕುಮಾರನಾಯ್ಕ Female 30 State Bank of India
3 ಮಂಜನಾಯ್ಕ ಬಿನ್ ದೇವ್ಲನಾಯ್ಕ Male 32 State Bank of India
4 ಉಷಾ ಬಿ ಎನ್ ಕೋಂ ಮಂಜನಾಯ್ಕ 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