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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	Collage Admision	6000	08/08/19 102734	08/08/19 02:08 pm
2	Course Fee	350	15/10/19 103179	15/10/19 03:10 pm
3	Course Fee	1000	30/10/19 103831	30/10/19 04:10 pm
4	Course Fee	21680	07/12/19 107254	07/12/19 04:12 pm
5	Course Fee	490	02/07/20- MAR-001624020720/ D-13035	02/07/20 04:07 pm