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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-022-003/662 Family Id: 662
Name of Head of Household: ಸಣ್ಣಪ್ಪ ಬಸಪ್ಪ
Name of Father/Husband: ಬಸಪ್ಪ
Category: ST
Date of Registration: 5/2/2009
Address: 563
Villages:
Panchayat: ಕಂದಕೂರ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 662
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಸಣ್ಣಪ್ಪ ಬಸಪ್ಪ Male 50 Syndicate Bank
2 ಶರಣಮ್ಮ ಸಣ್ಣಪ್ಪ Female 45
3 ಶರಣಪ್ಪ ಸಣ್ಣಪ್ಪ Male 28
4 ಮಲಿಯಮ್ಮ ಶರಣಪ್ಪ Female 26
5 ರೇಣುಕಾ ಹನಮಪ್ಪ Female 20


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