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

Application Form No. 103219
Date of Submission 29 October, 2019

Personal Details

Name of Student 18
Father/Husband name Jannie
Mother name Aliana
Date of Birth 15-09-1987
Gender Male
Category EBC
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Lexi
Board/University 88
Year of Passing 88
Percentage of Marks 76
Faculty Arts

Payment Details

Payment Status

UNPAID