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ONLINE ADMISSION FORM
(2018-19) |
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Select Your Stream:
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STUDENT DETAILS
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Student's Name:
(As per Last Marksheet Only) |
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State: |
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Address for Correspondence:
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Email Address: |
* Invalid
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Mobile Number: |
Invalid Mobile no.
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Area:
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Contact Number: |
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City: |
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Pincode: |
Invalid Pincode
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PERSONAL DETAILS |
Date of Birth:
(dd-mm-yyyy) |
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Blood Group: |
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Place of Birth: |
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Mother Tongue: |
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Nationality: |
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Gender: |
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(Only for NRI Students) |
Religion: |
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Passport Number: |
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Caste: |
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Passport Expiry Date:
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FAMILY DETAILS |
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Father's Guardian's Full Name: |
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State: |
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Permanent Address: |
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Email Address: |
* Invalid
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Parent's Mobile Number: |
Invalid Mobile no.
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Contact No: |
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City: |
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Occupation: |
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Pincode: |
Invalid Pincode
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Annual Income in Rs: |
Enter Digits/Numbers only
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ACADEMIC DETAILS |
SSC
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SSC School Name: |
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Name of the Examination Board: |
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Seat Number: |
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Number of Attempts |
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City: |
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Marks Obtained: |
Please enter integer number only, 0 incase it is not applicable
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Total Marks: |
Please enter integer number only, 0 incase it is not applicable
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Month -Year of Passing: |
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Percentage:
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Please enter number between 0-100, 0 incase it is not applicable
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CGPA: |
Please enter number between 0-10, 0 incase it is not applicable
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HSC
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HSC School Name: |
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Name of the Examination Board: |
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Seat Number: |
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Number of Attempts |
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City: |
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Marks Obtained: |
Please enter integer number only, 0 incase it is not applicable
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Total Marks: |
Please enter integer number only, 0 incase it is not applicable
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Month -Year of Passing: |
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Percentage:
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Please enter number between 0-100, 0 incase it is not applicable
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CGPA: |
Please enter number between 0-10, 0 incase it is not applicable
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IMPORTANT NOTES |
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UNDERTAKING |
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All Fields Marked '*' are Mandatory
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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
Principal's Mobile (Dr.Waheeda Thomas): +91 8690235624
Email ID:
[email protected] Website:
www.semcom.ac.in |
Copyright © 2017, SEMCOM, All rights reserved. Developed By: SEMCOM |