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Name (نام): *
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Category(زمرہ): *
Priority (ترجیح): *
Father Name: *
Roll No/Student ID: *
Program (پروگرام): *
Course Code (کورس کوڈ):
Fee Amount Submitted (فیس داخل کردہ):
Challan / Draft (If any)(چالان / ڈرافٹ):
13 Digits CNIC / Form - B # (تیرہ ہندسوں کا شناختی کارڈ یا ب فارم کا نمبر لکھیں ): *
Semester (سمسٹر):
Mobile # Without dash (e.g. 03123456789): *
Subject (عنوان): *
Message (پیغام): *
Region/City (شہر/علاقہ): *
Applied Date (اطلاقی تاریخ) (If any):
Tutor Name (ٹیوٹر کا ​​نام) (If any):
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