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Student Enrollment/Application Form No

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Student / Candidate Name *

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Father / Spouse Name *

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Course / Programme *

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Deptt. Name *

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Fee / Tuition Fee (in Rs.)

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Activity Fee

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Exam Fee if any (in Rs.)

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Late Fee if any (in Rs.)

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Any other Fee (in Rs.)

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Total Fee Amount (in Rs.) *

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Student Mobile No *

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Email ID *

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Credit CardDebit CardNet BankingUPIPayment Mode

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NOTE :-
1) * Mandatory
2) Please input all details correctly before proceeding for payment.
3) Save copy of online fee paid receipt for future reference.

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