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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-004-016-006/106 Family Id: 106
Name of Head of Household: ಶಿವರುದ್ರಯ್ಯಾ
Name of Father/Husband: ಗುದ್ಯಯ್ಯಾ ಕೆಂಭಾವಿಮಠ
Category: OTH
Date of Registration: 5/1/2009
Address:
Villages:
Panchayat: ಬಳಿಗೇರಿ
Block: ಯಲ್ಬುರ್ಗ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 106
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶಿವರುದ್ರಯ್ಯ Male 60
2 ಶಿವಮ್ಮ Female 48
3 ರತ್ನಮ್ಮ Female 25
4 ಮ್ರುತ್ಯುಂಜಯ Male 20
5 ಸಾವಿತ್ರಮ್ಮ Female 22


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