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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-004-026-002/325-D Family Id: 325-D
Name of Head of Household: ಶಿವಾಜಿರಾವ ಸುರ್ವೆ
Name of Father/Husband: ಕೇಶವರಾವ ಸುರ್ವೆ
Category: OTH
Date of Registration: 10/10/2013
Address: 64555
Villages:
Panchayat: ಇಟಗಿ
Block: ಯಲ್ಬುರ್ಗ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 325-D
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶಿವಾಜಿರಾವ Male 45
2 ಮಾರುತಿ Male 55
3 ಮಹೇಶಬಾಬು Male 50
4 ಸುಶೀಲಾಬಾಯಿ Female 45


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