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

Application Form No. 102269
Date of Submission 03 October, 2019

Personal Details

Name of Student 18
Father/Husband name Julia
Mother name Evolet
Date of Birth 02-05-1950
Gender Male
Category EBC
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Maisy
Board/University 67
Year of Passing 25
Percentage of Marks 21
Faculty Arts

Payment Details

Payment Status

UNPAID