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

Application Form No. 103365
Date of Submission 18 January, 2021

Personal Details

Name of Student 85
Father/Husband name Baylie
Mother name Justine
Date of Birth 01-05-1970
Gender Male
Category OBC
Mobile No. 2563784574
Marital Status Married
Email id pearboulderxbh@relayyork.site
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Intermediate Details

Name of College Jenny
Board/University 84
Year of Passing 43
Percentage of Marks 64
Faculty Science

Payment Details

Payment Status

UNPAID