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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

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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	105100	COURSE FEE	10/12/16 11:12 am
2	4-ka	100	4-ka:15/03/2017:85251	16/03/17 09:03 am
3	4-ka	500	refard fee:18/03/2017;85333	18/03/17 04:03 pm
4	Course Fee	450	26/12/17 93997	26/12/17 03:12 pm
5	Course Fee	1200	08/10/18 98750	08/10/18 03:10 pm