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

Application Form No. 102292
Date of Submission 03 October, 2019

Personal Details

Name of Student 18
Father/Husband name Maylene
Mother name Imogen
Date of Birth 17-05-1976
Gender Male
Category SC
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Agnes
Board/University 91
Year of Passing 25
Percentage of Marks 46
Faculty Commerce

Payment Details

Payment Status

UNPAID