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

Application Form No. 103029
Date of Submission 23 October, 2019

Personal Details

Name of Student 18
Father/Husband name Lidia
Mother name Emelie
Date of Birth 06-06-1992
Gender Male
Category SC
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Eleanor
Board/University 62
Year of Passing 25
Percentage of Marks 35
Faculty Science

Payment Details

Payment Status

UNPAID