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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-002-001-001/8503 Family Id: 8503
Name of Head of Household: ಶಿವಪ್ಪ
Name of Father/Husband: ನಾಗಪ್ಪ ಶಿರದಲಿ
Category: OTH
Date of Registration: 4/12/2015
Address: 44
Villages:
Panchayat: ಅಳವಂಡಿ
Block: ಕೊಪ್ಪಳ
District: KOPPAL(KARNATAKA)
Whether BPL Family: YES BPL Family No.: kplr00148462
Epic No.: KT/04/030/234348
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶಿವಪ್ಪ Male 35
2 ಹನುಮವ್ವ Female 56
3 ಪಾರ್ವತಿ Female 30


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