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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-018-008/217 Family-Id: 217
Name of Head of Household: ಶರಣಪ್ಪ ಭೀಮಪ್ಪ ಗೌಡ್ರ
Name of Father/Husband: ಭೀಮಪ್ಪ ಗೌಡ್ರ
Category: ST
Date of Registration: 6/16/2008
Address: 217
Villages:
Panchayat: ಬಿಜಕಲ್ಲ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
: NO Family-Id: 217
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶರಣಪ್ಪ ಭೀಮಪ್ಪ ಗೌಡ್ರ Male 36
2 ದುರಗಮ್ಮ ಶರಣಪ್ಪ ಗೌಡ್ರ 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