Photo
First Name CAIO
Middle Name N.
Last Name SILVA
Age 27
Gender MALE
Accomadation
Hall Seat No
Application No MR1
Foreinger (Y/N)?
Monk (Y/N)?
Student Type OLD/2
This Center Student NEW
Phone
Email
District/Country BRAZIL
Profession
Case Type
Severity 1
Reason GENUINE MEDICAL CONDITION
Deprature Day 2
Case Description came on first day evening and went back on 2nd day morning because of cold. couldn't tolorate cold.
Remarks
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