SEMCOM

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Student's Name:
As per Last Marksheet Only)

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Address for Correspondence:

Email Address:

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Date of Birth:
(dd-mm-yyyy)

Blood Group:

Place of Birth:

Mother Tongue:

Nationality:

Gender:

Religion:

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(Only for NRI Students)

Passport Number:

Passport Expiry Date:

Father's Guardian's Full Name:

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Email Address:

Permanent Address:

Parent's Mobile Number:

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Occupation:

Pincode:

Annual Income in Rs:

SSC School Name:

Name of the Examination Board:

Seat Number:

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Month-Year of Passing:

Number of Attempts

Marks Obtained:

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Total Marks:

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Percentage:

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CGPA:

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HSC School Name:

Name of the Examination Board:

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Month -Year of Passing:

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CGPA:

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1. That all the information provided in this Application Form is correct to the best of my/our knowledge
and understanding. In case of any information furnished by me/us is found to be incorrect and / or to
be not in compliance with the rules of University, the University has the right to take any action it
deems fit, including the cancellation of the provisional admission / admission of the candidate at any
point of time.
2. I/we understand that my admission is purely provisional. It will not be considered as final until, I/we
submit my qualifying exam marks sheet and the verification of all original / related documents by the
CVM University.
3. I/we promise to pay University / College fees as decided from time-to-time regularly as per
University/college rules and regulations. In case if I/we could not pay the fees on time, I/we
understand that my (son’s/ daughter’s) admission shall stand cancelled and I/we will have no claim
whatsoever for the refund of fees.
4. I/we promise that if I/we (son’s/daughter’s) avail the admission during 2023-24 in any Graduation
Degree / Post Graduation Degree I/we will submit all my assignments and will appear all the internal
and external evaluation for all subjects that I would be studying / taken up time to time and will abide
by all the rules and regulations /norms of authorised / appropriate bodies / CVM University.
5. In case of any mistake committed on the part of my son’s / daughter’s misbehaviour, indulging in any
type of ragging or any unconstitutional activity, I/we agree to abide by the decision taken by CVM
University and understand that the Admission Application / Provisional Admission shall stand
cancelled immediately.

I, the undersigned hereby submit my undertaking as a student of the college (institute) that I shall:
                        
1. Stay at Vallabh Vidyanagar during my study.
2. Stay in the hostel managed by Charutar Vidya Mandal.
3. Undergo Medical check-up after my admission.
4. Attend regularly (a) Lectures (b) Tutorials (c) Practice tests (d) Orientation Programs (e) Guest
Lectures (f)Online sessions, (g)NCC/NSS/PT and (h) all other extra curricular activities organized by the college.
5. Note that the fees / charges once paid will not be refunded under any other circumstances, even if
(a) I am provisionally admitted and fail to produce final eligibility certificate of CVM University.
(b) My terms are not granted by the University.
(c) Admission is cancelled at my request or by the authorities.
6. Note that in the event of cancellation of my admission at my request or otherwise, I am required to
pay fees for the whole course. Only the caution money deposit will be refunded on surrendering all
the original receipts. No photocopies will be accepted for the purpose.
7. Take prior permission from the Principal / Class Counselor for the leave of absence from the Institute.
8. Submit the medical certificate issued by the Registered Medical Practitioner for the period for which I may
be sick, within ten days of the recovery, along with the letter from my parents and if possible telephonic
confirmation from the parents/ Guardians to that effect.
9. Observe general discipline code of the college and will not be a party to any misdemeanor in the Institute.
10. Refrain from using unfair means in all the examinations and I shall not be aiding or abetting in using unfair
means in the examinations.
11. Carry my Identity Card in the Institute premises and produce it whenever any authorized Institute's/CVM's person asks for it, failing which I am liable for disciplinary action against me.
12. Submit certificate stating absence due to participation in sports or co-curricular activities within ten days of
completion of the event.
13. Note that granting of leave of absence does not mean that I shall be absolved from completing the
required number of days of attendance in theory and practical for certification of the journal.
14. Note that taking private coaching is prohibited.
15. Inform immediately the change of my address and I or telephone number to the office.
16. Not bring I use the Mobile phones in the college and hostel, If I am found using Mobile phone in college I
hostel, I am aware that I will be dismissed from the college.
17. Adhere to CVM University rules for minimum 80% attendance in the classes during an academic year.
For attendance below 80%, I shall be solely responsible and shall face the consequences.
18. Act on any legal matter in Anand jurisdiction.
19. Attend only those programmes which are approved by college/ University.
20. Submit Medical fitness certificate to undergo necessary field work which is compulsory for the
course work.
21. Not indulge in ragging of any kind in the college and Hostel.
I have carefully read in detail the Prospectus of the Institute. I agree to abide by all the rules and regulations of the
institute I force as well as those that will be made applicable thereafter. I shall also endeavour to enhance the
reputation of the institute. I shall also observe all the rules of the institute and the university with respect to classroom
attendance, work - assignments and test performances.
I have read the above rules and I agree to abide by them.

Yes, I have read the above rules and I agree to abide by them.

All Fields Marked '*' are Mandatory

SEMCOM
(A Constituent College of The CVM University)
Opp. Shastri Ground,
Vallabh Vidyanagar 388120, Dist. Anand, Gujarat, India.

College Contact No: (+91) 6352135360
Admission Co-ordinators (Dr. Yashasvi Rajpara – 9825256576, Dr. Renil Thomas – 98982-03575,
Email ID: principal.semcom@cvmu.edu.in
Website: www.semcom.ac.in
Copyright © 2020, SEMCOM, All rights reserved. Developed By: SEMCOM

ONLINE ADMISSION FORM - UG Programs (Academic Year: 2023-24)

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