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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-002-017-004/391-A Family Id: 391-A
Name of Head of Household: ಬಸಯ್ಯ ಹಿರೇಮಠ
Name of Father/Husband: ದಾನಯ್ಯ ಹಿರೇಮಠ
Category: OTH
Date of Registration: 11/26/2014
Address: 177
Villages:
Panchayat: ಹಿರೇಬಗನಾಳ
Block: ಕೊಪ್ಪಳ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 391-A
Epic No.: XSB0207779
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಬಸಯ್ಯ ಹಿರೇಮಠ Male 30 India Post Payments Bank
2 ಕಳಕವ್ವ Female 50 India Post Payments 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