85

Application form for admission in ANM or GNM Course(2018-19)
Application Form No.
101840
Date of Submission
07 May, 2020


Personal Details
Name of Student
85
Father/Husband name
Anja
Mother name
Alissa
Date of Birth
02-01-1986
Gender
Male
Category
EBC
Mobile No.
2563784574
Marital Status
Unmarried
Email id
pearboulderxbh@relayyork.site
Permanent Address
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Present/Correspondence Address
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Intermediate Details
Name of College
Evelynn
Board/University
92
Year of Passing
78
Percentage of Marks
11
Faculty
Science
Payment Details
Payment Status