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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-018-001/715 Family Id: 715
Name of Head of Household: ಫಕೀರಮ್ಮ ಗಂಡ ಹೋಳಿಯಪ್ಪ
Name of Father/Husband: ಹೋಳಿಯಪ್ಪ
Category: SC
Date of Registration: 12/13/2013
Address: 12
Villages:
Panchayat: ಬಿಜಕಲ್ಲ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: YES BPL Family No.: 2
Epic No.: kt/04/026/456604
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಫಕೀರಮ್ಮ Female 41
2 ಹೋಳಿಯಪ್ಪ Male 49
3 ಹನಮವ್ವ Female 21
4 ರೇಣುಕಾ Female 20
5 ದುರಗವ್ವ Female 29
6 ಕನಕಪ್ಪ Male 30


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