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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-001-005-001/542-A Family Id: 542-A
Name of Head of Household: ಶಿವುಪುತ್ರಪ್ಪ
Name of Father/Husband: ನಾಗಪ್ಪ ಚೌಡ್ಕಿ
Category: OTH
Date of Registration: 5/15/2022
Address: 212
Villages:
Panchayat: ಆಗೋಲಿ
Block: ಗಂಗಾವತಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 542-A
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶಿವುಪುತ್ರಪ್ಪ Male 35
2 ಹನುಮಮ್ಮ 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