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

Application Form No. 100164
Date of Submission 03 August, 2019

Personal Details

Name of Student 18
Father/Husband name Yoselin
Mother name Merry
Date of Birth 07-07-1970
Gender Male
Category EBC
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
Permanent Address


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    Intermediate Details

    Name of College Romina
    Board/University 52
    Year of Passing 43
    Percentage of Marks 54
    Faculty Science

    Payment Details

    Payment Status

    UNPAID