18

Application form for admission in ANM or GNM Course(2018-19)
Application Form No.
101284
Date of Submission
06 September, 2019


Personal Details
Name of Student
18
Father/Husband name
Saydee
Mother name
Temperance
Date of Birth
26-07-1983
Gender
Male
Category
SC
Mobile No.
5302553445
Marital Status
Unmarried
Email id
bluefirelovesickii@guidespeak.site
Permanent Address
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Present/Correspondence Address
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Intermediate Details
Name of College
Rylee
Board/University
22
Year of Passing
70
Percentage of Marks
68
Faculty
Arts
Payment Details
Payment Status