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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-004-026-002/1913-A Family Id: 1913-A
Name of Head of Household: ಮರಿಯಪ್ಪ ಶಿವಪ್ಪ ಚಲವಾದಿ
Name of Father/Husband: ಶಿವಪ್ಪ
Category: SC
Date of Registration: 10/25/2013
Address: 1006
Villages:
Panchayat: ಇಟಗಿ
Block: ಯಲ್ಬುರ್ಗ
District: KOPPAL(KARNATAKA)
Whether BPL Family: YES BPL Family No.: 1254
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಶಿವಪ್ಪ Male 50
2 ಶಂಕ್ರವ್ವ Female 48
3 ಮರಿಯಪ್ಪ Male 25
4 ಮಲ್ಲಮ್ಮ Female 20


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