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

Application Form No. 101963
Date of Submission 02 July, 2020

Personal Details

Name of Student 85
Father/Husband name Jennah
Mother name Constance
Date of Birth 07-01-1986
Gender Male
Category ST
Mobile No. 2563784574
Marital Status Married
Email id pearboulderxbh@relayyork.site
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Intermediate Details

Name of College Cristal
Board/University 79
Year of Passing 64
Percentage of Marks 46
Faculty Science

Payment Details

Payment Status

UNPAID