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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-017-001/10177 Family Id: 10177
Name of Head of Household: ಈರಮ್ಮ ವೀರಯ್ಯ ಹಿರೇಮಠ
Name of Father/Husband: ವೀರಯ್ಯ ಹಿರೇಮಠ
Category: OTH
Date of Registration: 9/7/2013
Address: 125
Villages:
Panchayat: ತಳುವಗೇರಾ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 10177
Epic No.: sq03147089
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಸಂಗಮ್ಮ Female 28
2 ಈರಮ್ಮ ವೀರಯ್ಯ ಹಿರೇಮಠ Female 30 Pragathi Krishna Gramin Bank
3 ಸಂಗಮ್ಮ ವೀರಯ್ಯ Female 28 Pragathi Krishna Gramin Bank


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