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

Application Form No. 100727
Date of Submission 29 February, 2020

Personal Details

Name of Student 85
Father/Husband name Jessalyn
Mother name Zuleyka
Date of Birth 21-11-1990
Gender Male
Category ST
Mobile No. 2563784574
Marital Status Unmarried
Email id pearboulderxbh@relayyork.site
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Intermediate Details

Name of College Kalei
Board/University 91
Year of Passing 38
Percentage of Marks 26
Faculty Science

Payment Details

Payment Status

UNPAID