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

Application Form No. 100739
Date of Submission 22 August, 2019

Personal Details

Name of Student 18
Father/Husband name Avis
Mother name Tess
Date of Birth 08-07-1986
Gender Male
Category OBC
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Marilyn
Board/University 27
Year of Passing 30
Percentage of Marks 82
Faculty Science

Payment Details

Payment Status

UNPAID