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

Application Form No. 102316
Date of Submission 04 October, 2019

Personal Details

Name of Student 18
Father/Husband name Mamie
Mother name Magdalena
Date of Birth 05-06-1963
Gender Male
Category EBC
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Phoenix
Board/University 26
Year of Passing 73
Percentage of Marks 95
Faculty Arts

Payment Details

Payment Status

UNPAID