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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

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SL	Title	Amount	Remarks	Date
1	Course Fee	11428		26/11/16 01:11 pm
2	Reg	600	refard fee:11/03/2017;85119	11/03/17 05:03 pm
3	Course Fee	1000	course fee:23/03/2017;85502	23/03/17 02:03 pm
4	Reg	300	85860	23/10/17 12:10 pm
5	Reg	1000	80188, 81408, 81655	21/11/17 12:11 pm
6	Ori	2000	80188, 81408, 81655	21/11/17 12:11 pm
7	1st mid	300	80188, 81408, 81655	21/11/17 12:11 pm
8	1st Board	1250	80188, 81408, 81655	21/11/17 12:11 pm
9	2ND board fee	3500	80188, 81408, 81655	21/11/17 12:11 pm