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

Application Form No. 102776
Date of Submission 17 October, 2019

Personal Details

Name of Student 18
Father/Husband name Gale
Mother name Effy
Date of Birth 16-06-1996
Gender Male
Category General
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Tanya
Board/University 87
Year of Passing 68
Percentage of Marks 86
Faculty Arts

Payment Details

Payment Status

UNPAID