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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-002-021-001/305 Family Id: 305
Name of Head of Household: ಸುರೇಶ
Name of Father/Husband: ಭರಮಪ್ಪ ಹೊಸಪೇಟಿಟ
Category: OTH
Date of Registration: 6/21/2008
Address:
Villages:
Panchayat: ಕಿನ್ನಾಳ
Block: ಕೊಪ್ಪಳ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 305
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಸುರೇಶ Male 36
2 ಮಂಜುಳ Female 26
3 ಶೇಕರಪ್ಪ Male 34
4 ವನಜಾಕ್ಷಮ್ಮ Female 25


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