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

Application Form No. 101106
Date of Submission 01 September, 2019

Personal Details

Name of Student 18
Father/Husband name Mariett
Mother name Colleen
Date of Birth 24-04-1967
Gender Male
Category EBC
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Ellison
Board/University 90
Year of Passing 46
Percentage of Marks 94
Faculty Science

Payment Details

Payment Status

UNPAID