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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-004-005/255 Family Id: 255
Name of Head of Household: ಶೇಖಪ್ಪ ತಿಪ್ಪಣ್ಣ ಇಂಗಳದಾಳ
Name of Father/Husband: ತಿಪ್ಪಣ್ಣ ಇಂಗಳದಾಳ
Category: OTH
Date of Registration: 10/1/2014
Address: 26/2
Villages:
Panchayat: ಮಾಲಗಿತ್ತಿ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 255
Epic No.: MBP1868165
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶೇಖಪ್ಪ ತಿಪ್ಪಣ್ಣ ಇಂಗಳದಾಳ Male 32
2 ಮಂಜುಳಾ ಶೇಖಪ್ಪ Female 28


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