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

Application Form No. 102698
Date of Submission 15 October, 2019

Personal Details

Name of Student 18
Father/Husband name Sylvie
Mother name Josephine
Date of Birth 12-03-1964
Gender Male
Category ST
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Briana
Board/University 71
Year of Passing 75
Percentage of Marks 59
Faculty Science

Payment Details

Payment Status

UNPAID