18

Application form for admission in ANM or GNM Course(2018-19)
Application Form No.
102791
Date of Submission
17 October, 2019


Personal Details
Name of Student
18
Father/Husband name
Lenore
Mother name
Robbie
Date of Birth
08-11-2000
Gender
Male
Category
EBC
Mobile No.
5302553445
Marital Status
Married
Email id
bluefirelovesickii@guidespeak.site
Permanent Address
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Intermediate Details
Name of College
Marsha
Board/University
10
Year of Passing
59
Percentage of Marks
96
Faculty
Arts
Payment Details
Payment Status