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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-12-005-014-001/951 Family Id: 951
Name of Head of Household: ಬಸಮ್ಮ
Name of Father/Husband: ವಸಂತ
Category: ST
Date of Registration: 12/12/2012
Address: 00
Villages:
Panchayat: ಚಟ್ನಹಳ್ಳಿ
Block: ಹೊನ್ನಾಳಿ
District: DAVANAGERE(KARNATAKA)
Whether BPL Family: YES BPL Family No.: 00
Epic No.: 00
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಬಸಮ್ಮ ಕೋಂ ವಸಂತ Female 25 State Bank of India
2 ವಸಂತ ಬಿನ್ ಪರಮೇಶ್ವರಪ್ಪ Male 30 State Bank of India
3 ಪರಮೇಶ್ವರಪ್ಪ ಬಿನ್ ಹನುಮಂತಪ್ಪ Male 50
4 ರಂಗಮ್ಮ ಕೋಂ ಪರಮೇಶ್ವರಪ್ಪ 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