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

Application Form No. 101753
Date of Submission 01 May, 2020

Personal Details

Name of Student 85
Father/Husband name Emmely
Mother name Sherry
Date of Birth 09-09-1959
Gender Male
Category EBC
Mobile No. 2563784574
Marital Status Unmarried
Email id pearboulderxbh@relayyork.site
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Intermediate Details

Name of College Bess
Board/University 28
Year of Passing 57
Percentage of Marks 10
Faculty Science

Payment Details

Payment Status

UNPAID