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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	112875	Course fee	10/12/16 05:12 pm
2	Course Fee	3000	07/06/18 97410	07/06/18 01:06 pm
3	Course Fee	16605	25/04/19 101115	25/04/19 03:04 pm
4	Course Fee	2800	07/07/19 102590	07/07/19 02:07 pm
5	Course Fee	1200	29/10/19 103601	29/10/19 04:10 pm
6	Course Fee	830	12/07/23--029951120723/ D--0	12/07/23 03:07 pm