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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	Collage Admision	6250	08/10/20-CIV-025819081020/ D-8645	08/10/20 04:10 pm
2	Course Fee	50	02/03/21--009530020321/ D-8645	02/03/21 04:03 pm