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Assuming we want to factor the formula to (x+3)(x+3), you want to have a +9 where there is a -4 now. So you must add 13.
Answer: 3
Step-by-step explanation:
Let E be the event of that student pierces ear and N be the event of that student pierces nose.
Given: 

For any two event A and B, we have

Similarly , 

Hence, 3 students have piercings both on their ears and their noses.