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

Application Form No. 100867
Date of Submission 25 August, 2019

Personal Details

Name of Student 18
Father/Husband name Emerald
Mother name Nico
Date of Birth 17-02-1979
Gender Male
Category ST
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Jizelle
Board/University 79
Year of Passing 60
Percentage of Marks 69
Faculty Arts

Payment Details

Payment Status

UNPAID