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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-05-005-007-001/672 Family Id: 672
Name of Head of Household: ಗೋವಿಂದಪ್ಪರ ಈರಮ್ಮ
Name of Father/Husband: ಕೊಟ್ರೇಶ
Category: ST
Date of Registration: 5/15/2021
Address: 69
Villages:
Panchayat: ಚೌಡಾಪುರ
Block: ಕೂಡ್ಲಿಗಿ
District: BALLARI(KARNATAKA)
Whether BPL Family: YES BPL Family No.: 658
Epic No.: 968547
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಗೋವಿಂದಪ್ಪರ ಈರಮ್ಮ Female 32 Pragathi Krishna Gramin Bank
2 ಕೊಟ್ರೇಶ Male 35 State Bank of India


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