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Diploma Course

Diploma in Textile Engineering

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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 *

Yes No

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SL	Title	Amount	Remarks	Date
1	College Admission 1	3000	30/07/17 89268	03/10/17 02:10 pm
2	Course Fee	2300	90989	07/10/17 04:10 pm
3	College Admission 2	900	31/10/17 92755	31/10/17 04:10 pm