85

Application form for admission in ANM or GNM Course(2018-19)
Application Form No.
101750
Date of Submission
01 May, 2020


Personal Details
Name of Student
85
Father/Husband name
Juliana
Mother name
Arlene
Date of Birth
08-04-1972
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
Melania
Board/University
86
Year of Passing
63
Percentage of Marks
57
Faculty
Commerce
Payment Details
Payment Status