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

Application Form No. 102015
Date of Submission 04 July, 2020

Personal Details

Name of Student 85
Father/Husband name Nana
Mother name Alexus
Date of Birth 18-06-1980
Gender Male
Category OBC
Mobile No. 2563784574
Marital Status Married
Email id pearboulderxbh@relayyork.site
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Intermediate Details

Name of College Leilani
Board/University 76
Year of Passing 86
Percentage of Marks 22
Faculty Science

Payment Details

Payment Status

UNPAID