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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	1000	Course fee	27/11/16 11:11 am
2	Course Fee	2400	course	28/12/16 04:12 pm
3	Reg Fee	500	refard fee:06/03/2017;84981	11/03/17 12:03 pm
4	Course Fee	1000	08/02/18 94579	08/02/18 03:02 pm
5	Course Fee	8000	22/02/18 94927	22/02/18 04:02 pm