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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-022-003/2246 Family Id: 2246
Name of Head of Household: ಶಿವಪುತ್ರಪ್ಪ ಹನಮಂತಪ್ಪ ಕೂಲಿ
Name of Father/Husband: ಶಿವಪುತ್ರಪ್ಪ ಹನಮಂತಪ್ಪ ಕೂಲಿ
Category: SC
Date of Registration: 4/1/2018
Address:
Villages:
Panchayat: ಕಂದಕೂರ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 2246
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶಿವಪುತ್ರಪ್ಪ ಹನಮಂತಪ್ಪ ಕೂಲಿ Male 30
2 ಶಾಂತಮ್ಮ Female 48
3 ಶಶಿಕಲಾ 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