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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-002-021-001/652-A Family Id: 652-A
Name of Head of Household: ಬಂಡೇರಾವ್ ದೇಸಾಯಿ
Name of Father/Husband: ಕಿಶನರಾವ್
Category: OTH
Date of Registration: 3/31/2015
Address:
Villages:
Panchayat: ಕಿನ್ನಾಳ
Block: ಕೊಪ್ಪಳ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 652-A
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಬಂಡೇರಾವ್ ದೇಸಾಯಿ Male 52
2 ಭಾರ್ಗವಿ Female 28
3 ಸುನಿತಾ Female 46


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