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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-004-014-003/751-B Family Id: 751-B
Name of Head of Household: ಶಿವಪ್ಪ
Name of Father/Husband: ಈರಪ್ಪ ಮಂಗಳೂರು
Category: OTH
Date of Registration: 4/1/2013
Address: 1/362
Villages:
Panchayat: ಶಿರೂರ
Block: ಯಲ್ಬುರ್ಗ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 751-B
Epic No.: 0
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶಿವಪ್ಪ Male 27
2 ಲಕ್ಷ್ಮವ್ವ Female 20


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