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

Application Form No. 102118
Date of Submission 28 September, 2019

Personal Details

Name of Student 18
Father/Husband name Zofia
Mother name Hetty
Date of Birth 28-03-2001
Gender Male
Category ST
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Lexi
Board/University 82
Year of Passing 63
Percentage of Marks 76
Faculty Science

Payment Details

Payment Status

UNPAID