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

Application Form No. 103604
Date of Submission 11 November, 2019

Personal Details

Name of Student 18
Father/Husband name Naima
Mother name Scarlette
Date of Birth 06-04-1968
Gender Male
Category ST
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Ailyn
Board/University 33
Year of Passing 17
Percentage of Marks 78
Faculty Arts

Payment Details

Payment Status

UNPAID