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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-017-001/1598 Family-Id: 1598
Name of Head of Household: ಶರಣಗೌಡ ಬಸನಗೌಡ ಪಾಟೀಲ್
Name of Father/Husband: ಬಸನಗೌಡ ಪಾಟೀಲ್
Category: OTH
Date of Registration: 2/4/2017
Address:
Villages:
Panchayat: ತಳುವಗೇರಾ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
: NO Family-Id: 1598
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶರಣಗೌಡ ಬಸನಗೌಡ ಮಾಲಿ ಪಾಟೀಲ್ Male 45
2 ನಿರ್ಮಲಾ ಶರಣಗೌಡ ಮಾಲಿ ಪಾಟೀಲ್ Female 40


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