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

Application Form No. 102891
Date of Submission 20 October, 2019

Personal Details

Name of Student 18
Father/Husband name Yara
Mother name Nadine
Date of Birth 25-12-1950
Gender Male
Category ST
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Leana
Board/University 90
Year of Passing 20
Percentage of Marks 50
Faculty Science

Payment Details

Payment Status

UNPAID