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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-002-017-004/610 Family Id: 610
Name of Head of Household: KOTRAGOUDA
Name of Father/Husband: GANGANAGOUDA
Category: OTH
Date of Registration: 6/11/2015
Address:
Villages:
Panchayat: ಹಿರೇಬಗನಾಳ
Block: ಕೊಪ್ಪಳ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 610
Epic No.: KT/04/030/570839
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 KOTRAGOUDA Male 37
2 LILAVATI Female 28


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