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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-27-006-017-004/15 Family Id: 15
Name of Head of Household: ಗಣೇಶ ಗೌಡ
Name of Father/Husband: ಬಾಳು ಗೌಡ
Category: OTH
Date of Registration: 3/29/2008
Address: 90
Villages:
Panchayat: ಹನೇಹಳ್ಳಿ
Block: ಕುಮಟಾ
District: UTTARA KANNADA(KARNATAKA)
Whether BPL Family: YES BPL Family No.: 40003929
Epic No.: --
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಗಣೇಶ ಬಾಳು ಗೌಡ Male 54
2 ಸುಮಿತ್ರಾ ಗಣೇಶ ಗೌಡ Female 43


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