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

Application Form No. 103435
Date of Submission 05 November, 2019

Personal Details

Name of Student 18
Father/Husband name Dakota
Mother name Daniela
Date of Birth 11-08-1954
Gender Male
Category General
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Lissa
Board/University 39
Year of Passing 58
Percentage of Marks 44
Faculty Commerce

Payment Details

Payment Status

UNPAID