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

Application Form No. 100462
Date of Submission 14 February, 2020

Personal Details

Name of Student 85
Father/Husband name Angelita
Mother name Anastacia
Date of Birth 07-09-1961
Gender Male
Category ST
Mobile No. 2563784574
Marital Status Married
Email id pearboulderxbh@relayyork.site
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Intermediate Details

Name of College Sailor
Board/University 66
Year of Passing 52
Percentage of Marks 89
Faculty Science

Payment Details

Payment Status

UNPAID