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Courses

Course Group

Course Name *	Duration	Course Fee

Subtotal: 0.00

Discount (-): 0.00

Total: 0.00

Personal Information

Name *

Phone *

Emergency Contact Number

CDC No.

ID No

ID Issue Date

Trade

Passport No. *

NID No.

Date Of Birth *

Place Of Birth *

Nationality *

Height

Weight

Identification Mark

Eye's Colour

Gender *

Student Photo

Parent Guardian Detail

Father Name *

Father Phone

Father Occupation

Mother Name

Mother Phone

Mother Occupation

If Guardian Is
Father Mother Other

Guardian Name

Guardian Relation

Guardian Email

Guardian Phone

Guardian Occupation

Guardian Address

Student Address Details

If Guardian Address is Current Address

Present Address *

If Permanent Address is Current Address

Permanent Address *

Education Qualification

Name of Exam	Passing Year	Name of Institute	Board	Group	Result / GPA

Sea Services

Name of Vessel	Type of Vessel	Rank	S/On	S/Off	IMO	GRT	DWT	Duration

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