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PRESIDENCY UNIVERSITY

(Private University Estd. in Karnataka State by Act No.41 of 2013


School of Engineering
Department of Electronics and Communication
Engineering
Student Counselling Report

Student’s Name :

Date of Birth :
Affix your recent
passport size
E mail ID :
photograph
Father’s Name :

Mother’s name :

Student’s Mobile Number-1 : Mobile Number-2 :

Mode of Admission : Category of Admission :

Roll Number : UID :


If Hostler, name of hostel and
Address for communication Permanent Address
warden

Mobile Number of Father :

Mobile Number of Mother :

Mobile Number of Guardian :

Father’s Occupation :

Mother’s Occupation :

Student Signature :

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PRESIDENCY UNIVERSITY
(Private University Estd. in Karnataka State by Act No.41 of 2013
School of Engineering
Department of Electronics And Communication
Engineering
Academic Details
% of
Sl.No Class School/College Name Board/University Grade
Result
1 10th Std. / SSLC

2 PUC / Diploma

B.Tech Programme

Sem 1st Sem 2nd Sem 3rd Sem 4th Sem 5th Sem 6th Sem 7th Sem 8th Sem

SGPA

CGPA

NE

NP

Additional Remarks by Faculty:


1

Details of Faculty Advisor

Name of the Faculty Advisor :

Designation & mobile number :

Signature :

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PRESIDENCY UNIVERSITY
(Private University Estd. in Karnataka State by Act No.41 of 2013
School of Engineering
Department of Electronics And Communication
Engineering

* Performance Improvement Plan


Detailed below are the specific actions required to rectify the unsatisfactory performance of the
student e.g. academic counselling, behaviour modifications, set projects or tasks, undergo
training programs, provide medical certificates for absences, mediation meetings etc.,

Name of the Student:


Roll Number
SL
Date Details By When
No.

Student’s Signature Faculty Advisor’s Signature


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