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

Application Form No. 103301
Date of Submission 01 November, 2019

Personal Details

Name of Student 18
Father/Husband name Lori
Mother name Erika
Date of Birth 11-05-1984
Gender Male
Category EBC
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College April
Board/University 83
Year of Passing 91
Percentage of Marks 97
Faculty Science

Payment Details

Payment Status

UNPAID