Job card
|
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
|
Job card No.:
|
KN-12-005-014-003/678
|
Family Id:
|
678
|
Name of Head of Household:
|
ಲಲಿತಮ್ಮ
|
|
Name of Father/Husband:
|
ರುದ್ರೇಶಪ್ಪ
|
Category:
|
OTH
|
Date of Registration:
|
1/16/2014
|
Address:
|
|
Villages:
|
|
Panchayat:
|
ಚಟ್ನಹಳ್ಳಿ
|
Block:
|
ಹೊನ್ನಾಳಿ
|
District:
|
DAVANAGERE(KARNATAKA)
|
Whether BPL Family:
|
YES
|
BPL Family No.:
|
011
|
Epic No.:
|
|
|
Details of the Applicants of the household willing to work
|
|
S.No
|
Name of Applicant
|
Gender
|
Age
|
Bank/Postoffice
|
|
1
|
ಲಲಿತಮ್ಮ ಕೋಂ ರುದ್ರೇಶಪ್ಪ
|
Female
|
40
|
State Bank of India
|
|
2
|
ರುದ್ರೇಶಪ್ಪ ಬಿನ್ ವೀರಪ್ಪ
|
Male
|
45
|
State Bank of India
|
|
3
|
ಮಂಜು ಬಿನ್ ಪ್ರಭುವಪ್ಪ
|
Male
|
35
|
|
|
4
|
ಬಸವರಾಜ ಬಿನ್ ಪ್ರಭುವಪ್ಪ
|
Male
|
40
|
|
|
5
|
ಶೋಭಾ ಕೋಂ ಬಸವರಾಜಪ್ಪ
|
Female
|
32
|
|
|
Signature/Thumb impression of Applicant
|
|
|
|
Seal & Signature of Registering Authority
|
|