85

Application form for admission in ANM or GNM Course(2018-19)
Application Form No.
104826
Date of Submission
29 May, 2022


Personal Details
Name of Student
85
Father/Husband name
Pam
Mother name
Blair
Date of Birth
25-11-1966
Gender
Male
Category
EBC
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
Savanah
Board/University
43
Year of Passing
73
Percentage of Marks
45
Faculty
Commerce
Payment Details
Payment Status