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

Application Form No. 101478
Date of Submission 12 September, 2019

Personal Details

Name of Student 18
Father/Husband name Rennie
Mother name Georgine
Date of Birth 15-07-1974
Gender Male
Category General
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Victory
Board/University 34
Year of Passing 39
Percentage of Marks 53
Faculty Science

Payment Details

Payment Status

UNPAID