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

Application Form No. 104068
Date of Submission 15 January, 2022

Personal Details

Name of Student 85
Father/Husband name Shay
Mother name Delila
Date of Birth 15-12-1991
Gender Male
Category General
Mobile No. 2563784574
Marital Status Unmarried
Email id pearboulderxbh@relayyork.site
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Intermediate Details

Name of College Tiffany
Board/University 70
Year of Passing 61
Percentage of Marks 76
Faculty Arts

Payment Details

Payment Status

UNPAID