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

Application Form No. 103639
Date of Submission 12 November, 2019

Personal Details

Name of Student 18
Father/Husband name Jersey
Mother name Adrienne
Date of Birth 11-07-1956
Gender Male
Category SC
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Shaela
Board/University 85
Year of Passing 74
Percentage of Marks 26
Faculty Science

Payment Details

Payment Status

UNPAID