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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-004-016-005/74 Family Id: 74
Name of Head of Household: ಶಿವಪ್ಪ
Name of Father/Husband: ತಿಮ್ಮಣ್ಣ ಕಡಿವಾಲ
Category: OTH
Date of Registration: 10/14/2008
Address:
Villages:
Panchayat: ಬಳಿಗೇರಿ
Block: ಯಲ್ಬುರ್ಗ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 74
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶಿವಪ್ಪ Male 38
2 ರೇಣವ್ವ Female 30
3 ಶರಣಪ್ಪ Male 20
4 ಚಂದ್ರಪ್ಪ Male 18
5 ಅಕ್ಕಮ್ಮ Female 19


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