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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-12-005-014-001/975 Family Id: 975
Name of Head of Household: ಗೀತಾ
Name of Father/Husband: ರಾಜಪ್ಪ
Category: OTH
Date of Registration: 12/12/2012
Address: 00
Villages:
Panchayat: ಚಟ್ನಹಳ್ಳಿ
Block: ಹೊನ್ನಾಳಿ
District: DAVANAGERE(KARNATAKA)
Whether BPL Family: YES BPL Family No.: 00
Epic No.: 00
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಗೀತಾ ಕೋಂ ರಾಜಪ್ಪ Female 42
2 ರಾಜಪ್ಪ ಬಿನ್ ಕೆಂಚಪ್ಪ Male 45
3 ಅನಿಲ್ ತಂದೆ ರಾಜಪ್ಪ Male 25
4 ಸುನಿಲ್ ತಂದೆ ರಾಜಪ್ಪ Male 22


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