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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-005-003/1260 Family Id: 1260
Name of Head of Household: ಶೇಖವ್ವ ಶರಣಪ್ಪ ನೀಲಗುಂದ
Name of Father/Husband: ಶರಣಪ್ಪ ನೀಲಗುಂದ
Category: OTH
Date of Registration: 9/20/2012
Address: 98/1
Villages:
Panchayat: ಜಾಗೀರಗುಡದೂರು
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: YES BPL Family No.: 1260
Epic No.: KT/04/026/126619
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶೇಖವ್ವ ಶರಣಪ್ಪ ನೀಲಗುಂದ Female 30
2 ಶರಣಪ್ಪ Male 40
3 ಮಲ್ಲಿಕಾರ್ಜುನ Male 20
4 ಕಳಕಪ್ಪ Male 18


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