18

Application form for admission in ANM or GNM Course(2018-19)
Application Form No.
103818
Date of Submission
18 November, 2019


Personal Details
Name of Student
18
Father/Husband name
Kris
Mother name
Sammie
Date of Birth
16-04-1989
Gender
Male
Category
EBC
Mobile No.
5302553445
Marital Status
Unmarried
Email id
bluefirelovesickii@guidespeak.site
Permanent Address
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Intermediate Details
Name of College
Adamary
Board/University
37
Year of Passing
14
Percentage of Marks
64
Faculty
Commerce
Payment Details
Payment Status