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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-004-005/212 Family Id: 212
Name of Head of Household: ಬಸಪ್ಪ ಸಾಬವ್ವ ಹರಿಜನ
Name of Father/Husband: ಸಾಬವ್ವ
Category: SC
Date of Registration: 5/2/2009
Address: 123
Villages:
Panchayat: ಮಾಲಗಿತ್ತಿ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 212
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಬಸಪ್ಪ ಸಾಬವ್ವ Male 41
2 ಬಸವ್ವ ಬಸಪ್ಪ Female 35
3 ಪರಸಪ್ಪ ಬಸಪ್ಪ Male 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