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

Application Form No. 101751
Date of Submission 01 May, 2020

Personal Details

Name of Student 85
Father/Husband name Lolita
Mother name Milani
Date of Birth 12-07-1990
Gender Male
Category OBC
Mobile No. 2563784574
Marital Status Unmarried
Email id pearboulderxbh@relayyork.site
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Intermediate Details

Name of College Lois
Board/University 65
Year of Passing 69
Percentage of Marks 89
Faculty Science

Payment Details

Payment Status

UNPAID