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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-004-004/567 Family Id: 567
Name of Head of Household: ಚಂದ್ರಶೇಖರ ಶರಣಪ್ಪ ಕುರಂಗದ
Name of Father/Husband: ಶರಣಪ್ಪ ಕುರಂಗದ
Category: OTH
Date of Registration: 2/15/2014
Address: 46
Villages:
Panchayat: ಮಾಲಗಿತ್ತಿ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 567
Epic No.: MBP3678109
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಚಂದ್ರಶೇಖರ ಶರಣಪ್ಪ ಕುರಂಗದ Male 28
2 ಸವಿತಾ ಶರಣಪ್ಪ ಕುರಂಗದ Female 22


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