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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-022-003/1696 Family Id: 1696
Name of Head of Household: ಹುಲಿಗೆಮ್ಮ ಹಾಳೂರಪ್ಪ ಮಾದರ
Name of Father/Husband: ಹಾಳೂರಪ್ಪ ಮಾದರ
Category: OTH
Date of Registration: 4/1/2021
Address:
Villages:
Panchayat: ಕಂದಕೂರ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 1696
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಹುಲಿಗೆಮ್ಮ ಹಾಳೂರಪ್ಪ ಮಾದರ Male 58 Pragathi Krishna Gramin Bank
2 ಹನಮವ್ವ Female 25 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