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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-12-005-014-001/323-A Family Id: 323-A
Name of Head of Household: ಸುಶೀಲಮ್ಮ
Name of Father/Husband: ಶೇಖರಪ್ಪ
Category: OTH
Date of Registration: 7/27/2020
Address: 71
Villages:
Panchayat: ಚಟ್ನಹಳ್ಳಿ
Block: ಹೊನ್ನಾಳಿ
District: DAVANAGERE(KARNATAKA)
Whether BPL Family: YES BPL Family No.: 71
Epic No.: 71
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಸುಶೀಲಮ್ಮ ಕೋಂ ಶೇಖರಪ್ಪ Female 50 State Bank of India
2 ಮಲ್ಲಿಕಾರ್ಜುನ ಬಿನ್ ಶೇಖರಪ್ಪ Male 35 State Bank of India


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