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

Application Form No. 102616
Date of Submission 12 October, 2019

Personal Details

Name of Student 18
Father/Husband name Jemma
Mother name Estrella
Date of Birth 06-12-1963
Gender Male
Category OBC
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Lakisha
Board/University 69
Year of Passing 82
Percentage of Marks 31
Faculty Science

Payment Details

Payment Status

UNPAID