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

Application Form No. 103454
Date of Submission 06 November, 2019

Personal Details

Name of Student 18
Father/Husband name Alexah
Mother name Alizah
Date of Birth 24-07-1957
Gender Male
Category ST
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Scarlett
Board/University 90
Year of Passing 76
Percentage of Marks 74
Faculty Science

Payment Details

Payment Status

UNPAID