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

Application Form No. 100674
Date of Submission 20 August, 2019

Personal Details

Name of Student 18
Father/Husband name Audriana
Mother name Ari
Date of Birth 27-04-1994
Gender Male
Category ST
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Wilma
Board/University 19
Year of Passing 98
Percentage of Marks 16
Faculty Arts

Payment Details

Payment Status

UNPAID