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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-011-001/623 Family Id: 623
Name of Head of Household: ಗಿರಿಯಮ್ಮ ದ್ಯಾಮಣ ಕಮಲಪನವರ
Name of Father/Husband: ದ್ಯಾಮಣ ಕಮಲಪನವರ
Category: OTH
Date of Registration: 5/29/2020
Address: 121
Villages:
Panchayat: ಕಾಟಾಪೂರ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 623
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಗಿರಿಯಮ್ಮ ದ್ಯಾಮಣ ಕಮಲಪನವರ Female 59
2 ರಮೇಶ Male 30
3 ಸುಮಂಗಲ Female 21


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