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Job card
MAHATMA GANDHI NATIONAL RURAL EMPLOYMENT GUARANTEE ACT
Job card No.: KN-20-003-018-001/14444 Family Id: 14444
Name of Head of Household: ಪ್ರವೀಣಗೌಡ ಪಾಟೀಲ
Name of Father/Husband: ಮಲ್ಲಿಕಾರ್ಜುನ
Category: OTH
Date of Registration: 7/19/2018
Address: 58
Villages:
Panchayat: ಬಿಜಕಲ್ಲ
Block: ಕುಷ್ಟಗಿ
District: KOPPAL(KARNATAKA)
Whether BPL Family: NO Family Id: 14444
Epic No.:
Details of the Applicants of the household willing
S.No Name of Applicant Gender Age Bank/Postoffice
1 ಪ್ರವೀಣಗೌಡ ಪಾಟೀಲ Male 28
2 ಪಲ್ಲವಿ ಪ್ರವೀಣಗೌಡ Female 24


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