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

Application Form No. 100157
Date of Submission 26 January, 2020

Personal Details

Name of Student 85
Father/Husband name Brandi
Mother name Euphemia
Date of Birth 25-02-1991
Gender Male
Category EBC
Mobile No. 2563784574
Marital Status Married
Email id pearboulderxbh@relayyork.site
Permanent Address


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    Intermediate Details

    Name of College Shriya
    Board/University 10
    Year of Passing 10
    Percentage of Marks 28
    Faculty Arts

    Payment Details

    Payment Status

    UNPAID