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

Application Form No. 101605
Date of Submission 15 September, 2019

Personal Details

Name of Student 18
Father/Husband name Vina
Mother name Breana
Date of Birth 28-01-2002
Gender Male
Category OBC
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Benita
Board/University 96
Year of Passing 20
Percentage of Marks 13
Faculty Arts

Payment Details

Payment Status

UNPAID