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

Application Form No. 103543
Date of Submission 08 November, 2019

Personal Details

Name of Student 18
Father/Husband name Lolita
Mother name Fatima
Date of Birth 03-08-1995
Gender Male
Category EBC
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Payton
Board/University 37
Year of Passing 88
Percentage of Marks 64
Faculty Science

Payment Details

Payment Status

UNPAID