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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-12-005-014-003/807 Family Id: 807
Name of Head of Household: ಕಲ್ಪನ
Name of Father/Husband: ಪ್ರಭುವಪ್ಪ
Category: OTH
Date of Registration: 10/12/2017
Address: 12
Villages:
Panchayat: ಚಟ್ನಹಳ್ಳಿ
Block: ಹೊನ್ನಾಳಿ
District: DAVANAGERE(KARNATAKA)
Whether BPL Family: YES BPL Family No.: 52
Epic No.: 23
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಕಲ್ಪನ ಕೋಂ ಪ್ರಭುವಪ್ಪ Female 35
2 ಪ್ರಭುವಪ್ಪ ಬಿನ್ ತಿಮ್ಮಪ್ಪ Male 42


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