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

Application Form No. 102313
Date of Submission 04 October, 2019

Personal Details

Name of Student 18
Father/Husband name Marlee
Mother name Yaretzi
Date of Birth 11-12-1965
Gender Male
Category ST
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Selene
Board/University 77
Year of Passing 27
Percentage of Marks 51
Faculty Commerce

Payment Details

Payment Status

UNPAID