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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-018-001/387 Family Id: 387
Name of Head of Household: ಚುಕ್ಕಮ್ಮ ಲಚಮಪ್ಪ
Name of Father/Husband: ಲಚಮಪ್ಪ
Category: SC
Date of Registration: 5/2/2009
Address: 387
Villages:
Panchayat: ಬಿಜಕಲ್ಲ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: YES BPL Family No.: 9
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಚುಕ್ಕಮ್ಮ ಲಚಮಪ್ಪ Female 40 Pragathi Krishna Gramin Bank
2 ಚಂದಪ್ಪ ಲಚಮಪ್ಪ Male 30 Pragathi Krishna Gramin Bank
3 ಗೀತಾ ಚಂದಪ್ಪ Female 21 Pragathi Krishna Gramin Bank
4 ರಾಮಪ್ಪ Male 18 Pragathi Krishna Gramin 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