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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-017-001/1465 Family Id: 1465
Name of Head of Household: ಬಸನಗೌಡ ದೇಸಾಯಿಗೌಡ ಮರೇಗೌಡ್ರ
Name of Father/Husband: ದೇಸಾಯಿಗೌಡ ಮರೇಗೌಡ್ರ
Category: OTH
Date of Registration: 4/2/2016
Address:
Villages:
Panchayat: ತಳುವಗೇರಾ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 1465
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಬಸನಗೌಡ ದೇಸಾಯಿಗೌಡ ಮರೇಗೌಡ್ರ Male 30
2 ಬಸಮ್ಮ ಬಸನಗೌಡ ಮರೇಗೌಡ್ರ Female 27


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