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

Application Form No. 101855
Date of Submission 21 September, 2019

Personal Details

Name of Student 18
Father/Husband name Essie
Mother name Cesca
Date of Birth 15-06-1967
Gender Male
Category ST
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Jackelin
Board/University 75
Year of Passing 32
Percentage of Marks 38
Faculty Commerce

Payment Details

Payment Status

UNPAID