Constituent College of Charutar Vidya Mandal University

ONLINE DIPLOMA ADMISSION 2020 - 21 FORM

Select Your Diploma:

STUDENTS DETAILS

Student's Name:  
As per Last Marksheet Only)
State :
Address for Correspondence:  
Email Address:  
 
Mobile Number: 
 
Area:
Contact Number:  
City:  
Pincode:  
 

PERSONAL DETAILS

Date of Birth:
(dd-mm-yyyy)
Blood Group:
Place of Birth:
Mother Tongue:
Nationality:
Gender:
Religion:
Caste:
 

(Only for NRI Students)
Passport Number:
Passport Expiry Date:
 

FAMILY DETAILS

Father's Guardian's Full Name:  
State:
Email Address:
Permanent Address:  
Parent's Mobile Number:  
 
 
Contact No:
City:  
Occupation:
Pincode:  
 
Annual Income in Rs:
 

AACADEMIC DETAILS

HSC or Equivalent
HSC or Equivalent School Name:  
Name of the Examination Board:  
Seat Number:
City:  
Month -Year of Passing:
Number of Attempts
Marks Obtained:

(Leave it blank if not available)
Total Marks:

(Leave it blank if not available)
Percentage:

(Leave it blank if not available)
CGPA:

(Leave it blank if not available)

All Fields Marked '*' are Mandatory
SEMCOM COLLEGE
(A Self-Financed English Medium College, Affiliated To Sardar Patel University)
OPP.SHATRI GROUND,
Vallabh Vidyanagar 388120, Dist. Anand, Gujarat, India.
College Contact No: 02692-235624
Dr.Waheeda S Thomas, Principal, Mobile :- +91 9099451897
Admission Co-ordinators (Dr. Yashasvi Rajpara – 9825256576, Dr. Renil Thomas – 98982-03575, Dr Yogesh Patel – 99790-93615)
Email ID: [email protected]
Website: www.semcom.ac.in
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