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

Application Form No. 100763
Date of Submission 23 August, 2019

Personal Details

Name of Student 18
Father/Husband name Deja
Mother name Susi
Date of Birth 20-04-2001
Gender Male
Category General
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Madison
Board/University 91
Year of Passing 39
Percentage of Marks 21
Faculty Science

Payment Details

Payment Status

UNPAID