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

Application Form No. 103027
Date of Submission 23 October, 2019

Personal Details

Name of Student 18
Father/Husband name Kayleen
Mother name Skyler
Date of Birth 24-07-1994
Gender Male
Category General
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Justine
Board/University 42
Year of Passing 60
Percentage of Marks 24
Faculty Arts

Payment Details

Payment Status

UNPAID