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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-27-006-020-001/576 Family Id: 576
Name of Head of Household: ಸಾವಿತ್ರಿ ಗೌಡ
Name of Father/Husband: ಮಂಕಾಳಿ ಗೌಡ
Category: OTH
Date of Registration: 7/21/2008
Address:
Villages:
Panchayat: ಗೋಕರ್ಣ
Block: ಕುಮಟಾ
District: UTTARA KANNADA(KARNATAKA)
Whether BPL Family: NO Family Id: 576
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಸಾವಿತ್ರಿ ಮಂಕಾಳಿ ಗೌಡ Female 45 Syndicate Bank


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