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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-020-003/112-A Family Id: 112-A
Name of Head of Household: ಗದ್ದೆಮ್ಮ ಗಂ.ವಿರೇಶ ವಡ್ಡರ್
Name of Father/Husband: ವಿರೇಶ ವಡ್ಡರ್
Category: ST
Date of Registration: 4/1/2013
Address: 0
Villages:
Panchayat: ಕ್ಯಾದಿಗುಪ್ಪಾ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 112-A
Epic No.: 0
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಗದ್ದೆಮ್ಮ ಗಂ.ವಿರೇಶ ವಡ್ಡರ್ Female 30
2 ವಿರೇಶ ಬಸಪ್ಪ ವಡ್ಡರ್ Male 35


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