85

Application form for admission in ANM or GNM Course(2018-19)
Application Form No.
103964
Date of Submission
28 December, 2021


Personal Details
Name of Student
85
Father/Husband name
Sukie
Mother name
Maliah
Date of Birth
20-06-1976
Gender
Male
Category
EBC
Mobile No.
2563784574
Marital Status
Married
Email id
pearboulderxbh@relayyork.site
Permanent Address
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Intermediate Details
Name of College
Maira
Board/University
25
Year of Passing
12
Percentage of Marks
28
Faculty
Arts
Payment Details
Payment Status