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

Application Form No. 101572
Date of Submission 14 September, 2019

Personal Details

Name of Student 18
Father/Husband name Mercedez
Mother name Suzy
Date of Birth 30-10-1999
Gender Male
Category SC
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Martina
Board/University 14
Year of Passing 42
Percentage of Marks 25
Faculty Science

Payment Details

Payment Status

UNPAID