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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-004-016-006/114 Family Id: 114
Name of Head of Household: ಗವಸಿದ್ದಯ್ಯ
Name of Father/Husband: ಶಿವಮಾರ್ತಯ್ಯ ಕುರ್ತಕೊಟಿ
Category: OTH
Date of Registration: 5/1/2009
Address:
Villages:
Panchayat: ಬಳಿಗೇರಿ
Block: ಯಲ್ಬುರ್ಗ
District: KOPPAL(KARNATAKA)
Whether BPL Family: YES BPL Family No.: 43727
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಗವಸಿದ್ದಯ್ಯ Male 32
2 ಶರಣಮ್ಮ Female 28


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