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Application form for admission in ANM or GNM Course(2018-19)

Application Form No. 100611
Date of Submission 22 February, 2020

Personal Details

Name of Student 85
Father/Husband name Dawn
Mother name Lorinda
Date of Birth 02-03-1976
Gender Male
Category ST
Mobile No. 2563784574
Marital Status Married
Email id pearboulderxbh@relayyork.site
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Intermediate Details

Name of College Gabriella
Board/University 94
Year of Passing 55
Percentage of Marks 45
Faculty Science

Payment Details

Payment Status

UNPAID