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

Application Form No. 104182
Date of Submission 22 March, 2020

Personal Details

Name of Student 18
Father/Husband name Alexie
Mother name Samanta
Date of Birth 10-10-1982
Gender Male
Category EBC
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Chasity
Board/University 65
Year of Passing 93
Percentage of Marks 95
Faculty Commerce

Payment Details

Payment Status

UNPAID