SEMCOM

Constituent College of Charutar Vidya Mandal University

Select Your Stream:
(Regular/Honours available for all courses except BCA)

Student's Name:
As per Last Marksheet Only)

State :

Address for Correspondence:

Email Address:

Mobile Number:

Area:

Contact Number:

City:

Pincode:

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:

Father's Guardian's Full Name:

State:

Email Address:

Permanent Address:

Parent's Mobile Number:

Contact No:

City:

Occupation:

Pincode:

Annual Income in Rs:

SSC 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 blank if not available)

Percentage:

(Leave it blank if not available)

CGPA:

(Leave it blank if not available)

HSC 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)

1. We recommend that you must personally visit the college once the lockdown period is over and situation becomes normal.
2. Incorrect information given in the application form will lead to cancellation of admission.
3. For particulars of Co-curricular activities, Hobbies & Interest you may submit details through email at admissions@semcom.ac.in stating your form number in the email subject.
4. The student will have to abide by the rules laid down by the College / Charutar Vidya Mandal/CVM University relating to attendance, class -work assignments, test performance, general discipline and
other things, failing which he/she will not be allowed at the University examination.
5. In case of any dispute, the jurisdiction of courts at Anand will prevail.
6. Hostel is compulsory for the students residing beyond 25 kilometers.
7. Taking private coaching is prohibited.
8. Only those programmes will be held in the college which are approved by the College Authorities.
9. Ragging of any kind in the college and hostel is strictly prohibited.

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 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
Copyright © 2020, SEMCOM, All rights reserved. Developed By: SEMCOM

ONLINE ADMISSION 2020 - 21 FORM

STUDENTS DETAILS

PERSONAL DETAILS

FAMILY DETAILS

ACADEMIC DETAILS

SSC

HSC

IMPORTANT NOTES

UNDERTAKING