85

Application form for admission in ANM or GNM Course(2018-19)
Application Form No.
104078
Date of Submission
17 January, 2022


Personal Details
Name of Student
85
Father/Husband name
Azucena
Mother name
Caddy
Date of Birth
08-09-1959
Gender
Male
Category
EBC
Mobile No.
2563784574
Marital Status
Unmarried
Email id
pearboulderxbh@relayyork.site
Permanent Address
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Intermediate Details
Name of College
Marcia
Board/University
71
Year of Passing
90
Percentage of Marks
72
Faculty
Commerce
Payment Details
Payment Status