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Diploma Course

Electrical

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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	8600	RE-POSTING	23/08/16 03:08 pm
2		475	2ND Refard fee	18/09/16 04:09 pm
3	Course Fee	1500	Course fee Rec	18/09/16 04:09 pm
4		500	Orient CT	22/11/16 04:11 pm
5		540	Orient CT	22/11/16 04:11 pm
6	Course Fee	3560	Course fee	22/11/16 04:11 pm
7	Course Fee	10000	Course Fee:01/03/2017;84768	01/03/17 04:03 pm
8	Orientation fee	1000	Ad:01/03/2017;84769	01/03/17 04:03 pm