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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-017-001/1509 Family Id: 1509
Name of Head of Household: ಬಸವರಾಜ ಶರಣಪ್ಪ ಹವಾಲ್ದಾರ
Name of Father/Husband: ಶರಣಪ್ಪ ಹವಾಲ್ದಾರ
Category: OTH
Date of Registration: 6/5/2016
Address:
Villages:
Panchayat: ತಳುವಗೇರಾ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 1509
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಬಸವರಾಜ ಶರಣಪ್ಪ ಹವಾಲ್ದಾರ Male 40
2 ಲಕ್ಷ್ಮವ್ವ ಬಸವರಾಜ ಹವಾಲ್ದಾರ Female 35


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