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   STUDENT DETAILS  
          Student's Name:
(As per Last Marksheet Only)
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   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:    
(Only for NRI Students)
 
 Religion: Passport Number:
   Caste: Passport Expiry Date:

FAMILY DETAILS
   Father's Guardian's Full Name:  State:
   Permanent Address:  
   Email Address:  
   Parent's Mobile Number:  
 Contact No:
   City: Occupation:
   Pincode:   Annual Income in Rs:  
ACADEMIC DETAILS
SSC
   SSC School Name:    Name of the Examination Board:
   Seat Number: Number of Attempts
    City:  Marks Obtained:   
 Total Marks:  
 Month -Year of Passing:

 Percentage:  

    CGPA:  
HSC
   HSC School Name:    Name of the Examination  Board:
Seat Number: Number of Attempts
   City:  Marks Obtained:  
 Total Marks:  
 Month -Year of Passing:  Percentage:
 
 
    CGPA:  
IMPORTANT NOTES
UNDERTAKING

 

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
Principal's Mobile (Dr.Waheeda Thomas): +91 8690235624
Email ID: principal@semcom.ac.in Website: www.semcom.ac.in
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