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

Application Form No. 103067
Date of Submission 25 October, 2019

Personal Details

Name of Student 18
Father/Husband name Jeannie
Mother name Jeannette
Date of Birth 05-05-1989
Gender Male
Category General
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Poppy
Board/University 52
Year of Passing 72
Percentage of Marks 66
Faculty Science

Payment Details

Payment Status

UNPAID