85

Application form for admission in ANM or GNM Course(2018-19)
Application Form No.
104742
Date of Submission
15 May, 2022


Personal Details
Name of Student
85
Father/Husband name
Jaidyn
Mother name
Rachael
Date of Birth
28-12-1950
Gender
Male
Category
EBC
Mobile No.
2563784574
Marital Status
Married
Email id
pearboulderxbh@relayyork.site
Permanent Address
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Intermediate Details
Name of College
Avani
Board/University
94
Year of Passing
52
Percentage of Marks
67
Faculty
Science
Payment Details
Payment Status