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

Application Form No. 103422
Date of Submission 16 September, 2021

Personal Details

Name of Student 85
Father/Husband name Kristie
Mother name Jaylin
Date of Birth 11-01-1987
Gender Male
Category General
Mobile No. 2563784574
Marital Status Unmarried
Email id pearboulderxbh@relayyork.site
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Intermediate Details

Name of College Lizeth
Board/University 91
Year of Passing 23
Percentage of Marks 18
Faculty Science

Payment Details

Payment Status

UNPAID