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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-020-003/2014 Family Id: 2014
Name of Head of Household: ಬಸಮ್ಮ ಭೀಮಪ್ಪ ಚಳಗೇರಿ
Name of Father/Husband: ಭೀಮಪ್ಪ
Category: OTH
Date of Registration: 4/1/2017
Address: 00
Villages:
Panchayat: ಕ್ಯಾದಿಗುಪ್ಪಾ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 2014
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಬಸಮ್ಮ ಭೀಮಪ್ಪ ಚಳಗೇರಿ Female 60 Pragathi Krishna Gramin Bank
2 ಶರಣಪ್ಪ ಭೀಮಪ್ಪ Male 40 Pragathi Krishna Gramin Bank
3 ಸಂಗನಬಸಮ್ಮ ಶರಣಪ್ಪ Female 32 Pragathi Krishna Gramin Bank
4 ಪಾರ್ವತೆಮ್ಮ Female 30 Pragathi Krishna Gramin Bank
5 ಹೇಮರೆಡ್ಡಿ Male 30 Pragathi Krishna Gramin Bank
6 ಮಹಾಂತೇಶ Male 22 Pragathi Krishna 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