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

Application Form No. 102606
Date of Submission 12 October, 2019

Personal Details

Name of Student 18
Father/Husband name May
Mother name Belinda
Date of Birth 17-01-1950
Gender Male
Category ST
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Jewel
Board/University 31
Year of Passing 58
Percentage of Marks 38
Faculty Science

Payment Details

Payment Status

UNPAID