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

Application Form No. 103994
Date of Submission 02 January, 2022

Personal Details

Name of Student 85
Father/Husband name Ricky
Mother name Opal
Date of Birth 13-06-1967
Gender Male
Category EBC
Mobile No. 2563784574
Marital Status Unmarried
Email id pearboulderxbh@relayyork.site
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Intermediate Details

Name of College Jazline
Board/University 13
Year of Passing 97
Percentage of Marks 20
Faculty Arts

Payment Details

Payment Status

UNPAID