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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-020-003/10097 Family Id: 10097
Name of Head of Household: ದೇವಪ್ಪ ಬಸಪ್ಪ ಅಂಬಿಗೇರ
Name of Father/Husband: ಬಸಪ್ಪ
Category: OTH
Date of Registration: 2/1/2019
Address: 110
Villages:
Panchayat: ಕ್ಯಾದಿಗುಪ್ಪಾ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 10097
Epic No.: MBP275625
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ದೇವಪ್ಪ Male 32
2 ಲಕ್ಷ್ಮಿಬಾಯಿ Female 29


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