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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-004-016-004/192 Family Id: 192
Name of Head of Household: ಶಿವಕಲ್ಲಮ್ಮ
Name of Father/Husband: ಶಿವಪ್ಪ ತೋಂಡಿಹಾಳ
Category: OTH
Date of Registration: 4/1/2015
Address: 9
Villages:
Panchayat: ಬಳಿಗೇರಿ
Block: ಯಲ್ಬುರ್ಗ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 192
Epic No.: KT/04/027/270669
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶಿವಕಲ್ಲಮ್ಮ Female 48
2 ಕಲ್ಲಪ್ಪ Male 35
3 ಹನಮವ್ವ Female 29


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