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

Application Form No. 101907
Date of Submission 30 June, 2020

Personal Details

Name of Student 85
Father/Husband name Kalani
Mother name Zahira
Date of Birth 20-12-1952
Gender Male
Category ST
Mobile No. 2563784574
Marital Status Married
Email id pearboulderxbh@relayyork.site
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Intermediate Details

Name of College Priscilla
Board/University 18
Year of Passing 10
Percentage of Marks 43
Faculty Science

Payment Details

Payment Status

UNPAID