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

Application Form No. 103193
Date of Submission 28 October, 2019

Personal Details

Name of Student 18
Father/Husband name Mireya
Mother name Alyson
Date of Birth 31-08-1968
Gender Male
Category ST
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Lizzet
Board/University 44
Year of Passing 92
Percentage of Marks 57
Faculty Science

Payment Details

Payment Status

UNPAID