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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-004-005/257 Family Id: 257
Name of Head of Household: ಚಂದ್ರಶೇಖರ ವಿರುಪಾಕ್ಷಗೌಡ ಪಾಟೀಲ್
Name of Father/Husband: ವಿರುಪಾಕ್ಷಗೌಡ ಪಾಟೀಲ್
Category: OTH
Date of Registration: 10/1/2014
Address: 88
Villages:
Panchayat: ಮಾಲಗಿತ್ತಿ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 257
Epic No.: SQO1502517
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಚಂದ್ರಶೇಖರ ವಿರುಪಾಕ್ಷಗೌಡ ಪಾಟೀಲ್ Male 40
2 ಅಕ್ಕಮಾಹಾದೇವಿ Female 38


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