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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-002-001-001/761 Family Id: 761
Name of Head of Household: ಸುಶೀಲಮ್ಮ
Name of Father/Husband: ನಿಂಗರೆಡ್ಡಿ ಇಮ್ಮಡಿ
Category: ST
Date of Registration: 6/23/2008
Address:
Villages:
Panchayat: ಅಳವಂಡಿ
Block: ಕೊಪ್ಪಳ
District: KOPPAL(KARNATAKA)
Whether BPL Family: YES BPL Family No.: 946
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಸುಶೀಲಮ್ಮ Female 48 Alwandi
2 ಜಗನ್ನಾಥ ರೆಡ್ಡಿ Male 22 Alwandi
3 ಶ್ರೀನಿವಾಸ Male 34 Alwandi


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