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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-026-003/635-A Family Id: 635-A
Name of Head of Household: ಹನಮಪ್ಪ ದುರಗಪ್ಪ
Name of Father/Husband: ದುರಗಪ್ಪ ಗೌಂಡಿ
Category: SC
Date of Registration: 6/10/2014
Address: 635
Villages:
Panchayat: ಕಿಲ್ಲಾರಹಟ್ಟಿ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 635-A
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಹನಮಪ್ಪ Male 40
2 ಶ್ಯಾಮಮ್ಮ Female 35 State Bank of India
3 ಗಂಗಪ್ಪ Male 22
4 ಶಿವಕುಮಾರ 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