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Diploma Course

Electrical

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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 Adision	13250	22/12/22--053570221222/ D--1050	22/12/22 01:12 pm
2	Course Fee	2300	23/05/23--056820230523/ D--0	23/05/23 03:05 pm
3	Course Fee	1500	11/03/24--034157110324/ D--26310	11/03/24 03:03 pm