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

Application Form No. 100112
Date of Submission 01 August, 2019

Personal Details

Name of Student 18
Father/Husband name Jadyn
Mother name Jessica
Date of Birth 16-04-1959
Gender Male
Category ST
Mobile No. 5302553445
Marital Status Unmarried
Email id bluefirelovesickii@guidespeak.site
Permanent Address


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    Intermediate Details

    Name of College Georgia
    Board/University 67
    Year of Passing 47
    Percentage of Marks 38
    Faculty Arts

    Payment Details

    Payment Status

    UNPAID