Photo
First Name TENEISHA
Middle Name L.
Last Name COFEY
Age 27
Gender FEMALE
Accomadation F-107
Hall Seat No B5
Application No FB5
Foreinger (Y/N)?
Monk (Y/N)?
Student Type NEW
This Center Student NEW
Phone +1-6026193667
Email
District/Country USA
Profession
Case Type
Severity 1
Reason GENUINE MEDICAL CONDITION
Deprature Day 99
Case Description went back due to health reason.
Remarks
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