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Diploma Course

Marine

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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	109725	course fee	10/12/16 03:12 pm
2	Absent fine	500	refard fee:19/03/2017;85358	22/03/17 12:03 pm
3	Course Fee	4938	11/01/18 94177	11/01/18 04:01 pm
4	Course Fee	1200	19/04/18 96624	19/04/18 04:04 pm