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

Application Form No. 102753
Date of Submission 16 October, 2019

Personal Details

Name of Student 18
Father/Husband name Shirl
Mother name Abbie
Date of Birth 20-04-1988
Gender Male
Category SC
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Emmily
Board/University 54
Year of Passing 44
Percentage of Marks 60
Faculty Science

Payment Details

Payment Status

UNPAID