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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-020-003/6366 Family Id: 6366
Name of Head of Household: ಮಹಾಂತೇಶ ಬಸಪ್ಪ ಕುಂಬಾರ
Name of Father/Husband: ಮಹಾಂತೇಶ ಬಸಪ್ಪ ಕುಂಬಾರ
Category: OTH
Date of Registration: 12/22/2017
Address:
Villages:
Panchayat: ಕ್ಯಾದಿಗುಪ್ಪಾ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 6366
Epic No.: sqo332188
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಮಹಾಂತೇಶ ಬಸಪ್ಪ ಕುಂಬಾರ Male 25
2 ಸವಿತಾ ಮಹಾಂತೇಶ ಕುಂಬಾರ Female 27


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