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

Application Form No. 101630
Date of Submission 15 September, 2019

Personal Details

Name of Student 18
Father/Husband name Seleste
Mother name Samantha
Date of Birth 26-09-2004
Gender Male
Category EBC
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Kaylen
Board/University 80
Year of Passing 46
Percentage of Marks 84
Faculty Science

Payment Details

Payment Status

UNPAID