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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-020-006/3505 Family Id: 3505
Name of Head of Household: ಶಿವರಾಜ ತಂದೆ ಭೀಮಪ್ಪ ಕುರಿ
Name of Father/Husband: ಭೀಮಪ್ಪ ಕುರಿ
Category: OTH
Date of Registration: 8/1/2021
Address:
Villages:
Panchayat: ಕ್ಯಾದಿಗುಪ್ಪಾ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: YES BPL Family No.: 200300139423
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶಿವರಾಜ ತಂದೆ ಭೀಮಪ್ಪ ಕುರಿ Male 30
2 ದೇವಮ್ಮ ಗಂಡ ಶಿವರಾಜ ಕುರಿ Female 27
3 ರತ್ನವ್ವ ಗಂಡ ಹನಮಪ್ಪ ಜಿಗಳೂರ Female 24


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