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Application form for admission in ANM or GNM Course(2018-19)

Application Form No. 101063
Date of Submission 31 August, 2019

Personal Details

Name of Student 18
Father/Husband name Phemie
Mother name Tamar
Date of Birth 11-11-1972
Gender Male
Category ST
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Yuridia
Board/University 97
Year of Passing 78
Percentage of Marks 97
Faculty Arts

Payment Details

Payment Status

UNPAID