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Course Name

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First Name

Middle Name

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Course Interested in

#	Course	First Name	Middle Name	Last Name	Gender	Date of Birth	Religion	Caste	Contact No.	Email ID	Address (Line I)	Address (Line II)	City	State	PIN Code	Total Fee	Sponsored Fee	Participant Fee Status	Fee Collection	Document Status
1	Diploma in Medical Laboratory Technology [DMLT]	Namrata	Vithhal	Nalwade	Female	15/09/1991	Hinduism	ST	8390675432	namrata@gmail.com	Nishuvi, 3rd floor, 75,	Dr Annie Road, Worli.	Mumbai	Maharashtra	400071	10000	5000	5000	Paid	80%
2	Diploma in Medical Laboratory Technology [DMLT]	Bhimali	Mahadev	Parab	Female	15/12/1989	Hinduism	SC	9812872376	bhimali.parab@gmail.com	Clan House 161/A, 7th Floor, Bhakti Bhavan,	Hemu Kalani Marg, Next to Acres Club,	Mumbai	Maharashtra	400071	10000	5000	0	Not Paid	80%
3	Diploma in Medical Laboratory Technology [DMLT]	Vishal	Ramesh	Charikar	Male	31/12/1989	Hinduism	ST	9812872376	vishal.charikar@gmail.com	Clan House 161/A, 7th Floor, Bhakti Bhavan,	Hemu Kalani Marg, Next to Acres Club,	Mumbai	Maharashtra	400071	10000	5000	3000	Partly Paid	20%
4	Diploma in Medical Laboratory Technology [DMLT]	Avinash	Jaganath	Vishawakarma	Male	01/12/1989	Hinduism	General	9812872376	avinash.vishwakarma@gmail.com	Clan House 161/A, 7th Floor, Bhakti Bhavan,	Hemu Kalani Marg, Next to Acres Club,	Mumbai	Maharashtra	400071	10000	5000	0	Not Paid	40%
5	Diploma in Medical Laboratory Technology [DMLT]	Dipak	Prakash	Surana	Male	25/12/1989	Hinduism	SC	9812872376	dipak.surana@gmail.com	Clan House 161/A, 7th Floor, Bhakti Bhavan,	Hemu Kalani Marg, Next to Acres Club,	Mumbai	Maharashtra	400071	10000	5000	5000	Paid	50%
6	Diploma in Medical Laboratory Technology [DMLT]	Amol	Jayprakash	Satpute	Male	15/12/1989	Hinduism	SC	9812872376	amol.satpute@gmail.com	Clan House 161/A, 7th Floor, Bhakti Bhavan,	Hemu Kalani Marg, Next to Acres Club,	Mumbai	Maharashtra	400071	10000	5000	0	Not Paid	40%
7	Diploma in Medical Laboratory Technology [DMLT]	Ramesh	Vinay	More	Male	31/12/1989	Hinduism	ST	9812872376	ramesh.more@gmail.com	Clan House 161/A, 7th Floor, Bhakti Bhavan,	Hemu Kalani Marg, Next to Acres Club,	Mumbai	Maharashtra	400071	10000	5000	3000	Partly Paid	85%
8	Diploma in Medical Laboratory Technology [DMLT]	Rohit	Shankar	Bhalerao	Male	01/12/1989	Hinduism	General	9812872376	rohit.bhalerao@gmail.com	Clan House 161/A, 7th Floor, Bhakti Bhavan,	Hemu Kalani Marg, Next to Acres Club,	Mumbai	Maharashtra	400071	10000	5000	0	Not Paid	95%
9	Diploma in Medical Laboratory Technology [DMLT]	Afsana	Abu	Shaikh	Female	31/12/1989	Hinduism	SC	9812872376	afsana.shaikh@gmail.com	Clan House 161/A, 7th Floor, Bhakti Bhavan,	Hemu Kalani Marg, Next to Acres Club,	Mumbai	Maharashtra	400071	10000	5000	5000	Paid	55%
10	Diploma in Medical Laboratory Technology [DMLT]	Anjali	Jitendar	Singh	Female	01/12/1989	Hinduism	ST	9812872376	anjali.singh@gmail.com	Clan House 161/A, 7th Floor, Bhakti Bhavan,	Hemu Kalani Marg, Next to Acres Club,	Mumbai	Maharashtra	400071	10000	5000	3000	Partly Paid	45%

#	Course	First Name	Middle Name	Last Name	Gender	Date of Birth	Religion	Caste	Contact No.	Email ID	Address (Line I)	Address (Line II)	City	State	PIN Code	Total Fee	Sponsored Fee	Participant Fee Status	Fee Collection	Document Status
1	Diploma in Medical Laboratory Technology [DMLT]	Namrata	Vithhal	Nalwade	Female	15/09/1991	Hinduism	ST	8390675432	namrata@gmail.com	Nishuvi, 3rd floor, 75,	Dr Annie Road, Worli.	Mumbai	Maharashtra	400071	10000	5000	5000	Paid	80%
2	Diploma in Medical Laboratory Technology [DMLT]	Bhimali	Mahadev	Parab	Female	15/12/1989	Hinduism	SC	9812872376	bhimali.parab@gmail.com	Clan House 161/A, 7th Floor, Bhakti Bhavan,	Hemu Kalani Marg, Next to Acres Club,	Mumbai	Maharashtra	400071	10000	5000	0	Not Paid	80%
3	Diploma in Medical Laboratory Technology [DMLT]	Vishal	Ramesh	Charikar	Male	31/12/1989	Hinduism	ST	9812872376	vishal.charikar@gmail.com	Clan House 161/A, 7th Floor, Bhakti Bhavan,	Hemu Kalani Marg, Next to Acres Club,	Mumbai	Maharashtra	400071	10000	5000	3000	Partly Paid	80%
4	Diploma in Medical Laboratory Technology [DMLT]	Avinash	Jaganath	Vishawakarma	Male	01/12/1989	Hinduism	General	9812872376	avinash.vishwakarma@gmail.com	Clan House 161/A, 7th Floor, Bhakti Bhavan,	Hemu Kalani Marg, Next to Acres Club,	Mumbai	Maharashtra	400071	10000	5000	0	Not Paid	80%
5	Diploma in Medical Laboratory Technology [DMLT]	Dipak	Prakash	Surana	Male	25/12/1989	Hinduism	SC	9812872376	dipak.surana@gmail.com	Clan House 161/A, 7th Floor, Bhakti Bhavan,	Hemu Kalani Marg, Next to Acres Club,	Mumbai	Maharashtra	400071	10000	5000	5000	Paid	80%
6	Diploma in Medical Laboratory Technology [DMLT]	Amol	Jayprakash	Satpute	Male	15/12/1989	Hinduism	SC	9812872376	amol.satpute@gmail.com	Clan House 161/A, 7th Floor, Bhakti Bhavan,	Hemu Kalani Marg, Next to Acres Club,	Mumbai	Maharashtra	400071	10000	5000	0	Not Paid	80%

#	Course Name	Participant/Potential Name	Refund Date	Refund Type	Payable Amount	Installment I	Installment II	Refund Amount	Refund Reason	Action
1	Diploma in Medical Laboratory Technology [DMLT]	Namrata Nalwade	19/01/2023	Online	2500	1000	500	1000	Don't want to enrolled in course

Receipt

Student ID :

Name

Address

Receipt No.

Date

Fee Status

#	Course/Domain	Total Fee	Fee Sponsored By Donor	Sponsorship	Fee paid by Candidate
1	Diploma in Medical Laboratory Technology [DMLT]	10000	5000	2500	2500

#	Installment Slot	Installment Date	Amount	Receipt No.
1	Installment 1	23/10/2021	1500	30011
2	Installment 2	23/01/2022	1000	30023

Total 0

Receipt

Student ID : LPL/STD/2021-23/01
Name : Namrata Nalwade
Address : Nishuvi, 3rd floor, 75, Dr Annie Road, Worli. Mumbai - 400018 Maharashtra, India

Receipt No. : 1005
Date : 23/10/2021
Free Status : Paid

#	Course/Domain	Total Fee	Fee Sponsored By Donor	Sponsorship	Fee paid by Candidate
1	Diploma in Medical Laboratory Technology [DMLT]	10000	5000	2500	2500

#	Installment Slot	Installment Date	Amount	Receipt No.
1	Installment 1	23/10/2021	1500	30011
2	Installment 2	23/01/2022	1000	30023

Total : 0

Participant Name

Course Name

Total Fee

Fee Sponsored By Donor

Fee paid by Candidate

Do you want to reduced fee?

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Fee Paid by Student

Installment Slot

Installment Date

Amount

Receipt No.

Refund Fee Create Receipt Fee Collection

#	Installment Slot	Installment Date	Amount	Receipt No.	Action
1	Installment 1	23/10/2021	1500	30011
2	Installment 2	23/01/2022	1000	30023

Participant Name

Course Name

Total Fee

Fee Sponsored By Donor

Fee Paid by Student

Installment Slot

Installment Date

Amount

Receipt No.

Fee Collection

#	Installment Slot	Installment Date	Amount	Receipt No.	Action
No data available in table!

Participant Name

Course Name

Total Fee

Fee Sponsored By Donor

Fee Paid by Student

Installment Slot

Installment Date

Amount

Receipt No.

Fee Collection

#	Installment Slot	Installment Date	Amount	Receipt No.	Action
1	Installment 1	23/10/2021	3000	30011

Personal Details
Name
Namrata Nalwade

DOB
15 Sept 1991

Age
30

Gender
Female

Martial Status
Single

Religion
Hinduism

Caste
ST

Qualification
12th Std

Participant ID
LPL/STD/2021-23/01

Nishuvi, 3rd floor, 75,
Dr Annie Road, Worli.
Mumbai - 400018
Maharashtra, India
+91 8390675432
+91 9878675645
namrata@gmail.com
Family Details

#	Relation	Name	Mobile	PAN Number	Occupation	Annual Income	Document Type	Documents
1	Father	Ramesh Nalwade	8890342167	BAFBV12345	Business	400000	Salary Slip
2	Mother	Reema Nalwade	8674321678	GHIK345678	Other	100000	Salary Slip

Other Details

Do you have a disability?

YES

#	Specify the disability	Disability Category	Documents
1	Visual Impairment	Partial

Sources of Inquiry

Ex-Student
Documents

#	Name of Document	View Documents
1	Aadhaar Card
2	PAN Card
3	Birth Certificate
4	Living Certificate
5	SSC Certificate
6	HSC Certificate
7	Graduation Certificate
8	Other Certificate

Course Name : DMLT
Total Course Fees : 10000
Fee paid by Donor : 8000
Fee paid by Candidate : 1500

Payble : 2500
Installment I : 1000
Installment II : 500
Balance : 1000

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