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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-002-004-002/1367-A Family Id: 1367-A
Name of Head of Household: ಚನ್ನಪ್ಪ
Name of Father/Husband: ಭರಮಪ್ಪ ಗೊರವರ
Category: OTH
Date of Registration: 4/1/2012
Address:
Villages:
Panchayat: ಬೆಟಗೇರಿ
Block: ಕೊಪ್ಪಳ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 1367-A
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಚನ್ನಪ್ಪ Male 30 Syndicate Bank
2 ಲಕ್ಷ್ಮೀ Female 20 Syndicate Bank
3 ಮಲ್ಲಪ್ಪ Male 31 Syndicate Bank
4 ಭರಮಪ್ಪ Male 60
5 ದೇವವ್ವ Female 50


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