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

Application Form No. 100977
Date of Submission 29 August, 2019

Personal Details

Name of Student 18
Father/Husband name Odalis
Mother name Brandi
Date of Birth 30-05-1972
Gender Male
Category General
Mobile No. 5302553445
Marital Status Married
Email id bluefirelovesickii@guidespeak.site
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Intermediate Details

Name of College Marisa
Board/University 41
Year of Passing 72
Percentage of Marks 16
Faculty Arts

Payment Details

Payment Status

UNPAID