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

Application Form No. 102090
Date of Submission 27 September, 2019

Personal Details

Name of Student 18
Father/Husband name Ximena
Mother name Lilli
Date of Birth 14-01-2002
Gender Male
Category ST
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Medha
Board/University 35
Year of Passing 40
Percentage of Marks 96
Faculty Science

Payment Details

Payment Status

UNPAID