Shahajirao Patil Vikas Pratishthan's S. B. PATIL COLLEGE OF ENGINEERING Village - Vangali, Pune-Solapur highway, Tal - Indapur, Dist ~ Pune-413106 Personal Information Tutor Form Please Student Name Stack Branch .josscsstsntssenesatisensinsiatnsintietisetneintintneenenenennenneiennetnenetseneee Photo Year of Admission......sssccssessscesssssssesssesssssssunnssssssseesseesasiuuununnseesseeeseesseuesnessste Date of Birth.......cccssssssessssssssessesssssesseeessssssunussssssseeeseesssessuunnsnsssseeeeseeesessusnenste Local Address Permanent Address Contact No. Email id. Blood Group. Height. Weight. Identification Mark. Father's Name... Place of Work..... Designation..... Mother's Name..... J Place of Wotk..cssonsinennsnnnnnsnnnnnnnnee Designation. Contact NO..ssinnnntinnnnsnatnniennanennnnsnaen ee Academic Information Year] KO | Acsdemie | sem | Neat of | Exam Seat | tors /ouror| 9% | Special FE SE TE BEAttendance Information Month | Month | Month | Month ‘Average Student Sem] M9 2 3 4 Attendance | _ Remarks Signature Placement Information No.oftnterviews | No.ofAptitudes | N®.0FGroup No, of Technical )No. of Personal Attended Cleared Discussions Interviews Interviews “ee sare Cleared Cleared Cleared Selected Company Designation : Pay Scale : Co curricular Information Hobbies Strength, ‘Weakness Area of Interest... Achievement .. Competative Exams GivenParent Tutor Interaction Record Meeting No Date Name Sign. Remarks ‘Tutor Assessment Record General Discipline ‘Communication Skills Personal Behavior Response to Co-Curricular Activities Punctuality Behavior Towards Faculty Overall Grading 5.Excellent 4.Very Good 3.Need to improve 2.Need Counseling 1.Need to Warn FE SE TE BE Major Problem Faced Warning Issued Disciplinary Action Taken ‘Tutor Teachers FE SE TE BE ia I 1 Signature & Name of the Teacher Student Sign. H.O.D. PRINCIPAL