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

Application Form No. 101477
Date of Submission 12 September, 2019

Personal Details

Name of Student 18
Father/Husband name Vi
Mother name Beverly
Date of Birth 18-05-1951
Gender Male
Category OBC
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Elissa
Board/University 35
Year of Passing 67
Percentage of Marks 36
Faculty Science

Payment Details

Payment Status

UNPAID