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

Application Form No. 102094
Date of Submission 27 September, 2019

Personal Details

Name of Student 18
Father/Husband name Stephana
Mother name Kittie
Date of Birth 18-03-1972
Gender Male
Category ST
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Tina
Board/University 38
Year of Passing 85
Percentage of Marks 13
Faculty Arts

Payment Details

Payment Status

UNPAID