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Medical Course

Pathology

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Student ID *

Student Name *

Roll Number *

Regi. Number *

DOB

Student's Email

Student's Phone *

Father's Name *

Father's Phone

Mother's Name

Mother's Phone

Permanent Address

Present Address

Present Guardian's Name

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Academic Course *

Department *

Admission Date *

Admission Fees

Total Course Fees *

Duration(Month) *

Additional Fees

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SL	Title	Amount	Remarks	Date
1	Course Fee	1000	05/11/17 8280	05/11/17 03:11 pm
2	Course Fee	17150	1st+2nd+3rd	15/02/18 01:02 pm
3	Course Fee	2000	19/1/17 7442	15/02/18 01:02 pm
4	Course Fee	6500	24/7/17 7973	15/02/18 01:02 pm
5	Course Fee	10000	28/04/18 8797	03/05/18 03:05 pm
6	Course Fee	3480	18/03/19 10107	18/03/19 12:03 pm
7	Course Fee	2000	28/07/19 10424	30/07/19 03:07 pm
8	Course Fee	10000	PAT-005230030220/ D-11200	03/02/20 03:02 pm