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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-020-003/1764 Family Id: 1764
Name of Head of Household: ಶಿವಪ್ಪ ಅಮರಪ್ಪ ಚಳಗೇರಿ
Name of Father/Husband: ಶಿವಪ್ಪ ಅಮರಪ್ಪ ಚಳಗೇರಿ
Category: OTH
Date of Registration: 4/1/2018
Address: 00
Villages:
Panchayat: ಕ್ಯಾದಿಗುಪ್ಪಾ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 1764
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶಿವಪ್ಪ ಅಮರಪ್ಪ ಚಳಗೇರಿ Male 42
2 ಹನಮವ್ವ ಶಿವಪ್ಪ Female 36


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