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FILL THIS FORM AND OUR EXECUTIVE WILL CONTACT YOU SHORTLY
Reg. No.
Roll No.
Course
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Pre Sea Training
Name
Father Name
Permanent Address
General
OBC
SC
ST
DOB
Mailing Address
City
State
City
State
Email Id
Mobile No.
Aadhaar No.
*
Gender
Male
Female
Pursuing
Completed
Left
Active Status
Active
Course Status
Sr No.
Educational Detail
Subject
Name of Board
Passing Year
Marks Obtained
1.
10th
2.
12th
3.
Graduation
4.
Others
Sr No.
Fee Particulars
Amount (Rs.)
1.
Registration Fee
2.
Course Fee
3.
Exam Fee
4.
Practical Fee
5.
Other Fee
6.
Discount on course fee (if any)
7.
Discounted Course fee
Date
Fee Installment
