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

Application Form No. 102479
Date of Submission 08 October, 2019

Personal Details

Name of Student 18
Father/Husband name Larissa
Mother name Mariette
Date of Birth 10-02-1979
Gender Male
Category SC
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Pearlie
Board/University 43
Year of Passing 13
Percentage of Marks 55
Faculty Arts

Payment Details

Payment Status

UNPAID