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

Application Form No. 101033
Date of Submission 20 March, 2020

Personal Details

Name of Student 85
Father/Husband name Amparo
Mother name Harleen
Date of Birth 04-07-1958
Gender Male
Category General
Mobile No. 2563784574
Marital Status Unmarried
Email id pearboulderxbh@relayyork.site
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Intermediate Details

Name of College Susi
Board/University 15
Year of Passing 15
Percentage of Marks 25
Faculty Arts

Payment Details

Payment Status

UNPAID