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Mentoring Report - Student Data Form

The document is a mentoring record for an electrical engineering student. It contains sections for personal details, educational background, accomplishments, academic performance, internships, exam scores, higher education plans, job placement, and mentoring details. The mentoring details section allows for grading the student each semester in areas like academics, attendance, behavior, and career readiness. It also tracks any issues, warnings, or disciplinary actions. The record is signed by the student, mentor, and head of department.

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118 views5 pages

Mentoring Report - Student Data Form

The document is a mentoring record for an electrical engineering student. It contains sections for personal details, educational background, accomplishments, academic performance, internships, exam scores, higher education plans, job placement, and mentoring details. The mentoring details section allows for grading the student each semester in areas like academics, attendance, behavior, and career readiness. It also tracks any issues, warnings, or disciplinary actions. The record is signed by the student, mentor, and head of department.

Uploaded by

rajpootap2002
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Electrical Engineering Department

Institute of Engineering & Technology, Lucknow

MENTORING RECORD

PHOTO

A. Personal Details:

Student’s Name : ……………………………………………………………………………….

Roll No : ………………………..Mobile: ……………………Date of Birth: ………….

Branch : ………. ……….…Section: …….…… Academic Year: ………….………

Father’s/Guardian’s Name : ……………………………………….. Occupation: ………………………...

Parent’s Mobile No : ……………………………………… Land Line No: …………………….....

Student’s Email Id : ………………………………………………… Blood Group………...

Parent’s Email Id : ……………………………………………………………………………….

Address for Correspondence: ………………………………………………………………………………

(Permanent) ………………………………………………………………………………….

Address for Correspondence: ……………………………………………………………………………

(Temporary) …………………………………………………………………………………..

Details of any serious medical condition: …………………………………………………………………….

B. Educational Particulars:
Medium of Schooling:

Percentage Year of
Board Strengths and Weaknesses
PCM Overall Pass
1.
2.
3.
4.
5.
6.
UPSEE Rank: ……….

C. Accomplishments (Technical/ Cultural/Sports/ Social Activities):


Achievements Achievements
Sem-I Sem-II

Sem-III Sem-IV

Sem-V Sem-VI

Sem-VII Sem-VIII

D. Academic Performance: write subject codes or names of active Carry Papers (CP) and MOOCS as applicable

Semester SGPA CGPA

Regular
B. Tech - I Semester CP
MOOCS (NPTEL etc)
Overall Grade (All Pass) Class Rank:
Regular
B.Tech - II Semester CP
MOOCS (NPTEL etc)
Overall Grade (All Pass) Class Rank:
Regular
B.Tech - III Semester CP
MOOCS (NPTEL etc)
Overall Grade (All Pass) Class Rank:
Regular
B.Tech - IV Semester CP
MOOCS (NPTEL etc)
Overall Grade (All Pass) Class Rank:
Regular
B.Tech - V Semester CP
MOOCS (NPTEL etc)
Overall Grade (All Pass) Class Rank:
Regular
B.Tech - VI Semester CP
MOOCS (NPTEL etc)
Overall Grade (All Pass) Class Rank:
Regular
B.Tech - VII Semester CP
MOOCS (NPTEL etc)
Overall Grade (All Pass) Class Rank:
Regular
B.Tech - VIII Semester CP
MOOCS (NPTEL etc)
Overall Grade (All Pass) Class Rank:
Aggregate in Semester
CGPA

E. Internships undergone:

Sl. Semester Industry/ Internship Title Duration


No. Organization

F. GATE /CAT/GRE Score (Rank):

G. Institute Joined for Higher Studies:

H. Placed in company:
I. (*To be filled by the Faculty In-charge)

Grading by the Mentor at the End of Every Semester (On Scale of 5)


Sem-I Sem-II Sem-III Sem-IV Sem-V Sem-VI Sem-VII Sem-VIII

Academics
Attendance
General Discipline
Communication Skills
Behavior with Peers
Behavior with Faculty
Co-Curricular Activities
Extra -Curricular Activities
Behavior in Hostel
Career Readiness
Exam Readiness
Timely Submission of
Feedback and Copies of
Certificates
Overall Grading
Major Problems, Warnings
Issued, Disciplinary action
taken
Mentor Signature:
HOD Signature:

Grading Scale:5-Excellent, 4-Very Good, 3-Needs Improvement, 2-Needs Counseling, 1-Parents to be intimated

J. Mentoring Details:

Student Mentor's Name


Semester Date Remarks by Mentor
Signature & Signature

II
III

IV

VI

VII

VIII

HoD

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