85

Application form for admission in ANM or GNM Course(2018-19)
Application Form No.
104687
Date of Submission
07 May, 2022


Personal Details
Name of Student
85
Father/Husband name
Marielle
Mother name
Karma
Date of Birth
24-02-1986
Gender
Male
Category
ST
Mobile No.
2563784574
Marital Status
Unmarried
Email id
pearboulderxbh@relayyork.site
Permanent Address
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Present/Correspondence Address
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Intermediate Details
Name of College
Emilee
Board/University
73
Year of Passing
43
Percentage of Marks
80
Faculty
Arts
Payment Details
Payment Status