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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-018-007/514 Family-Id: 514
Name of Head of Household: ಹನಮಂತಪ್ಪ ಬಾಲಪ್ಪ ದೊಟಿಹಾಳ
Name of Father/Husband: ಬಾಲಪ್ಪ ದೊಟಿಹಾಳ
Category: OTH
Date of Registration: 9/28/2013
Address: 58
Villages:
Panchayat: ಬಿಜಕಲ್ಲ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
: YES BPL Family No.: 2
Epic No.: kt/04/026/438576
Details of the Applicants of the household willing to work
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಹನಮಂತಪ್ಪ Male 45
2 ಶರಣಪ್ಪ Male 20
3 ಶರನಪ್ಪ Male 21


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