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

Application Form No. 102534
Date of Submission 10 October, 2019

Personal Details

Name of Student 18
Father/Husband name Frieda
Mother name Quetzalli
Date of Birth 06-02-1984
Gender Male
Category EBC
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Siya
Board/University 62
Year of Passing 89
Percentage of Marks 94
Faculty Arts

Payment Details

Payment Status

UNPAID