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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-001-006/1380 Family Id: 1380
Name of Head of Household: ಶಿವಪ್ಪ ಚಿಂಚಲಿ
Name of Father/Husband: ಹನಮಪ್ಪ ಚಿಂಚಲಿ
Category: ST
Date of Registration: 3/2/2020
Address:
Villages:
Panchayat: ಜಾಗೀರಗುಡದೂರು
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: YES BPL Family No.: kusr00106598
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶಿವಪ್ಪ ಚಿಂಚಲಿ Male 52
2 ಮಲ್ಲವ್ವ ಚಿಂಚಲಿ Female 46


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