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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-002-017-003/535 Family Id: 535
Name of Head of Household: ಶೇಖರಪ್ಪ ಬಂಗಾಳಿ
Name of Father/Husband: ರಾಮಣ್ಣ
Category: OTH
Date of Registration: 4/11/2015
Address:
Villages:
Panchayat: ಹಿರೇಬಗನಾಳ
Block: ಕೊಪ್ಪಳ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 535
Epic No.: XSB1321546
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶೇಖರಪ್ಪ Male 41
2 ಹುಲಿಗೆವ್ವ Female 37
3 ನಾಗರತ್ನ Female 19


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