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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	66400	Course fee	10/12/16 04:12 pm
2	Course Fee	3500	05/12/17 93547	05/12/17 03:12 pm
3	Course Fee	9000	23/06/18 97492	24/06/18 10:06 am
4	Course Fee	9000	13/01/19 100258	13/01/19 02:01 pm