Student Self Assessment Form
Session :……………………………………Course/Stream/Semester………………..………………………………………………..
Name…………………………………………………………. Id/Enrollment………………………………………………………
1 Subject Studied
2 Number of class attended
3 Number of self study hours
4 Number of Practical done
Fully Narrate / describe the
knowledge and skill gained in
5 the above Subject
6 Time Spent
(A) Sports
(B) Social Ethics
In mutual discussions
(C) with other students /
teachers.
Seminars/Conferences
(D)
attended.
In producing any article
(E)
/ material
(F) Industrial training
In any other
(G)
extracurricular activity
In acquiring analytical
(H)
skills / writing skills
(I) In taking care of parents
7 Overall rating out of 10
8 Mobile Number
9 Father Name
10 Father Occupation
11 Email-ID
12 Parent Mobile Number
13 Attending/Non Attending
14 Job/Coaching
15 What you want to become
16 How University help you?
17 Current Status
18 Fee Details
19 Concession (YES/NO)
If YES then by whom?
Percentage of concession
Declaration by Student:
I hereby declare that the above information provided by me
is true to my knowledge and I feel very happy and satisfied in continuing my further
studies in the University.
Signature of Student
Declaration by Guardian/ Parents
I Father/Mother/Guardian of
(Name of Student) hereby declare that the above information provided by my ward is
true to my knowledge and I am /satisfied /dissatisfied with the performance of my ward
in this Semester/academic year……………………………………
Signature of Parent/Guardian
Mobile No: