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

Application Form No. 104265
Date of Submission 27 March, 2020

Personal Details

Name of Student 18
Father/Husband name Cicely
Mother name Serinity
Date of Birth 05-07-1988
Gender Male
Category OBC
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Lailani
Board/University 92
Year of Passing 67
Percentage of Marks 86
Faculty Commerce

Payment Details

Payment Status

UNPAID