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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-12-005-002-001/59 Family Id: 59
Name of Head of Household: ಪ್ರಕಾಶ
Name of Father/Husband: ನರಸಪ್ಪ
Category: OTH
Date of Registration: 4/1/2006
Address:
Villages:
Panchayat: ಯರಗನಾಳ
Block: ಹೊನ್ನಾಳಿ
District: DAVANAGERE(KARNATAKA)
Whether BPL Family: YES BPL Family No.: 0
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಪ್ರಕಾಶ ಬಿನ್ ನರಸಪ್ಪ Male 28 KARNATAKA BANK
2 ಚಂದ್ರಮ್ಮ ಕೋಂ ಪ್ರಕಾಶ Female 19 KARNATAKA BANK


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