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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-002-017-002/187-A Family Id: 187-A
Name of Head of Household: ಹನುಮಪ್ಪ ಕುರಿ
Name of Father/Husband: ಗುಡದಪ್ಪ
Category: OTH
Date of Registration: 4/10/2015
Address:
Villages:
Panchayat: ಹಿರೇಬಗನಾಳ
Block: ಕೊಪ್ಪಳ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 187-A
Epic No.: 28
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಹನುಮಪ್ಪ ಕುರಿ Male 45 Syndicate Bank
2 ಗಂಗಮ್ಮ Female 40 Syndicate Bank
3 ಬಸವರಾಜ Male 22 IDFC Bank
4 ಗವಿಸಿದ್ದಪ್ಪ Male 26 Canara 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