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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-017-003/840 Family Id: 840
Name of Head of Household: ಭೀಮೇಶ ಹುಲಗವ್ವಮಾದಿಗ
Name of Father/Husband: ಹುಲಗವ್ವ
Category: SC
Date of Registration: 5/5/2009
Address: 840
Villages:
Panchayat: ತಳುವಗೇರಾ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 840
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಭೀಮೇಶ Male 23 Vanageri
2 ರೇಣವ್ವ Female 25 Vanageri


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