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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-022-003/30444 Family Id: 30444
Name of Head of Household: ಪ್ರವೀಣ
Name of Father/Husband: ಮಲ್ಲನಗೌಡ ಪಾಟೀಲ
Category: OTH
Date of Registration: 8/1/2010
Address: 3234
Villages:
Panchayat: ಕಂದಕೂರ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 30444
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಪ್ರವೀಣ ಮಲ್ಲನಗೌಡ ಪಾಟಿಲ Male 27
2 ಸೌಮ್ಯ ಪ್ರವೀಣ Female 23


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