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

Application Form No. 103555
Date of Submission 09 November, 2019

Personal Details

Name of Student 18
Father/Husband name Yulissa
Mother name Shayna
Date of Birth 08-01-1976
Gender Male
Category EBC
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Yvonne
Board/University 10
Year of Passing 84
Percentage of Marks 42
Faculty Science

Payment Details

Payment Status

UNPAID