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

Application Form No. 103291
Date of Submission 01 November, 2019

Personal Details

Name of Student 18
Father/Husband name Casandra
Mother name Rosa
Date of Birth 14-03-1983
Gender Male
Category EBC
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Poppy
Board/University 63
Year of Passing 31
Percentage of Marks 92
Faculty Commerce

Payment Details

Payment Status

UNPAID