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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-004-005/213 Family Id: 213
Name of Head of Household: ಸೋಮಪ್ಪ ಷಣ್ಮುಖಪ್ಪ ಸುಳ್ಳದ
Name of Father/Husband: ಷಣ್ಮುಖಪ್ಪ
Category: OTH
Date of Registration: 5/2/2009
Address: 86
Villages:
Panchayat: ಮಾಲಗಿತ್ತಿ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 213
Epic No.:
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಸೋಮಪ್ಪ ಷಣ್ಮುಖಪ್ಪ Male 32
2 ಬಸವ್ವ ಸೋಮಪ್ಪ Female 26


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