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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

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SL	Title	Amount	Remarks	Date
1	Collage Admision	6250	21/09/20-MAR-054273210920/ D-11638	21/09/20 04:09 pm
2	Course Fee	11638	20/12/20-MAR-052631201220/ D-0	21/12/20 12:12 pm