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

Application Form No. 102314
Date of Submission 04 October, 2019

Personal Details

Name of Student 18
Father/Husband name Alfy
Mother name Jennie
Date of Birth 11-10-1953
Gender Male
Category SC
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Aya
Board/University 28
Year of Passing 61
Percentage of Marks 65
Faculty Science

Payment Details

Payment Status

UNPAID