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Diploma Course

Civil

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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

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Agreement *

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SL	Title	Amount	Remarks	Date
1	Course Fee	25850	1st+2nd+3rd	21/01/18 12:01 pm
2	Course Fee	300	8/4/17 86369	21/01/18 12:01 pm
3	Course Fee	1100	15/4/17 86841	21/01/18 12:01 pm
4	Course Fee	10650	16/4/17 86982	21/01/18 12:01 pm
5	Course Fee	4000	6/6/17 88602	21/01/18 01:01 pm
6	Course Fee	300	7/10/17 90994	21/01/18 01:01 pm
7	Course Fee	9500	19/10/17 92106	21/01/18 01:01 pm
8	Course Fee	6655	04/12/17 93504	21/01/18 01:01 pm
9	Course Fee	10050	31/03/18 95878	31/03/18 04:03 pm
10	Course Fee	2500	01/04/18 96216	02/04/18 11:04 am
11	Course Fee	11250	10/10/18 98889	10/10/18 04:10 pm
12	Course Fee	1500	20/02/19 100563	20/02/19 02:02 pm
13	Course Fee	1650	27/04/19 101216	27/04/19 03:04 pm
14	Course Fee	500	TR-041898190120/ DUE-0	19/01/20 03:01 pm