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

Application Form No. 101916
Date of Submission 30 June, 2020

Personal Details

Name of Student 85
Father/Husband name Brittney
Mother name Cissy
Date of Birth 09-03-1971
Gender Male
Category General
Mobile No. 2563784574
Marital Status Unmarried
Email id pearboulderxbh@relayyork.site
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Intermediate Details

Name of College Loreen
Board/University 66
Year of Passing 59
Percentage of Marks 60
Faculty Science

Payment Details

Payment Status

UNPAID