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

Application Form No. 102601
Date of Submission 11 October, 2019

Personal Details

Name of Student 18
Father/Husband name Lorraine
Mother name Marian
Date of Birth 15-09-1999
Gender Male
Category ST
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Jamila
Board/University 86
Year of Passing 63
Percentage of Marks 81
Faculty Science

Payment Details

Payment Status

UNPAID