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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-27-008-009-005/56 Family Id: 56
Name of Head of Household: ಹನಮಿ ರಾಮ ಹಸ್ಲರ
Name of Father/Husband: ರಾಮ ಹಸ್ಲರ
Category: SC
Date of Registration: 8/11/2008
Address:
Villages:
Panchayat: ದೊಡ್ಮನೆ
Block: ಸಿದ್ದಾಪುರ
District: UTTARA KANNADA(KARNATAKA)
Whether BPL Family: NO Family Id: 56
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಹನಮಿ ರಾಮ ಹಸ್ಲರ Female 39
2 ಕಲಾವತಿ ರಾಮ ಹಸ್ಲರ Female 19
3 ವೀರಭದ್ರ ರಾಮ ಹಸ್ಲರ Male 18


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