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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-002-013-003/187-A Family Id: 187-A
Name of Head of Household: ರಾಜೇಶಗೌಡ ತಂದೆ ಲಿಂಗನಗೌಡ ಪಾಟೀಲ್
Name of Father/Husband: ಲಿಂಗನಗೌಡ ಪಾಟೀಲ್
Category: OTH
Date of Registration: 9/1/2014
Address: 208/1
Villages:
Panchayat: ಓಜನಹಳ್ಳಿ
Block: ಕೊಪ್ಪಳ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 187-A
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ರಾಜೇಶಗೌಡ ತಂದೆ ಲಿಂಗನಗೌಡ ಪಾಟಿಲ್ Male 40 Pragathi Gramin Bank
2 ರಶ್ಮಿ ಗಂಡ ರಾಜೇಶಗೌಡ ಪಾಟಿಲ್ Female 29 Pragathi Gramin 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