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

Application Form No. 104031
Date of Submission 10 March, 2020

Personal Details

Name of Student 18
Father/Husband name Helen
Mother name Eileen
Date of Birth 07-09-1988
Gender Male
Category ST
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Juliana
Board/University 72
Year of Passing 32
Percentage of Marks 17
Faculty Arts

Payment Details

Payment Status

UNPAID