85

Application form for admission in ANM or GNM Course(2018-19)
Application Form No.
104569
Date of Submission
15 April, 2022


Personal Details
Name of Student
85
Father/Husband name
Jarely
Mother name
Saydee
Date of Birth
04-10-2002
Gender
Male
Category
General
Mobile No.
2563784574
Marital Status
Married
Email id
pearboulderxbh@relayyork.site
Permanent Address
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Intermediate Details
Name of College
Jenessa
Board/University
35
Year of Passing
89
Percentage of Marks
61
Faculty
Science
Payment Details
Payment Status