18

Application form for admission in ANM or GNM Course(2018-19)
Application Form No.
101921
Date of Submission
23 September, 2019


Personal Details
Name of Student
18
Father/Husband name
Josefa
Mother name
Brita
Date of Birth
26-05-1958
Gender
Male
Category
SC
Mobile No.
5302553445
Marital Status
Unmarried
Email id
bluefirelovesickii@guidespeak.site
Permanent Address
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Intermediate Details
Name of College
Pilar
Board/University
91
Year of Passing
23
Percentage of Marks
65
Faculty
Commerce
Payment Details
Payment Status