85
Application form for admission in ANM or GNM Course(2018-19)
Application Form No.
104797
Date of Submission
23 May, 2022
Personal Details
Name of Student
85
Father/Husband name
Keily
Mother name
Divina
Date of Birth
01-01-1963
Gender
Male
Category
General
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
Skyler
Board/University
65
Year of Passing
48
Percentage of Marks
41
Faculty
Science
Payment Details
Payment Status