18

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
Permanent Address
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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