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

Application Form No. 102139
Date of Submission 29 September, 2019

Personal Details

Name of Student 18
Father/Husband name Lia
Mother name Isabelle
Date of Birth 03-10-2001
Gender Male
Category ST
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Jemima
Board/University 92
Year of Passing 10
Percentage of Marks 18
Faculty Science

Payment Details

Payment Status

UNPAID