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Diploma Course

Electro Medical

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Student ID *

Student Name *

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Regi. Number *

DOB

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Father's Name *

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Mother's Name

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Academic Course *

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Duration(Month) *

Additional Fees

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SL	Title	Amount	Remarks	Date
1	Course Fee	400	07/03/21--024191070321/ D-10788	07/03/21 04:03 pm
2	Course Fee	50	05/09/21--009882050921/ D-10788	05/09/21 02:09 pm