Photo
First Name GUY
Middle Name .
Last Name HARPER
Age 25
Gender MALE
Accomadation R-10A
Hall Seat No H7
Application No M139
Foreinger (Y/N)?
Monk (Y/N)?
Student Type NEW
This Center Student NEW
Phone 9779829187340
Email guyharper@outlook.com
District/Country UK
Profession
Case Type
Severity 1
Reason GENUINE MEDICAL CONDITION
Deprature Day 3
Case Description due to stomach pain
Remarks
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