85

Application form for admission in ANM or GNM Course(2018-19)
Application Form No.
104651
Date of Submission
01 May, 2022


Personal Details
Name of Student
85
Father/Husband name
Lillyana
Mother name
Avni
Date of Birth
26-01-1952
Gender
Male
Category
SC
Mobile No.
2563784574
Marital Status
Married
Email id
pearboulderxbh@relayyork.site
Permanent Address
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Present/Correspondence Address
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Intermediate Details
Name of College
Sia
Board/University
75
Year of Passing
83
Percentage of Marks
22
Faculty
Science
Payment Details
Payment Status