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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-020-003/10131 Family-Id: 10131
Name of Head of Household: ಶಾಂತಾ ಗ್ಯಾನನಗೌಡ
Name of Father/Husband: ಗ್ಯಾನನಗೌಡ
Category: OTH
Date of Registration: 3/1/2019
Address: 78
Villages:
Panchayat: ಕ್ಯಾದಿಗುಪ್ಪಾ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
: NO Family-Id: 10131
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶಾಂತಾ Female 25
2 ಹಮನವ್ವ Female 49 State Bank of India
3 ಮಂಜುನಾಥ Male 25 Karnataka Vikas Grameen Bank


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