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Diploma Course

Civil

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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

Present Guardian Phone

Academic Course *

Department *

Admission Date *

Admission Fees

Total Course Fees *

Duration(Month) *

Additional Fees

Notes

Stipend *

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Agreement *

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SL	Title	Amount	Remarks	Date
1	Course Fee	56500	course	20/12/16 04:12 pm
2	Course Fee	3000	course fee:09/03/2017;85076	11/03/17 04:03 pm
3	Course Fee	1650	27/11/18 99741	27/11/18 02:11 pm