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

Application Form No. 100105
Date of Submission 01 August, 2019

Personal Details

Name of Student 18
Father/Husband name Briseyda
Mother name Carlee
Date of Birth 25-07-1983
Gender Male
Category ST
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
Permanent Address


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    Intermediate Details

    Name of College Emmely
    Board/University 84
    Year of Passing 13
    Percentage of Marks 26
    Faculty Commerce

    Payment Details

    Payment Status

    UNPAID