Annexure 2

NCU-FORM
COMMUNITY SERVICE TRACKING FORM (TO Review Date:
BE SUBMITTED BY THE STUDENT TO THE
MENTOR)
Sheet 1 of 1

NAME & ROLL NO. OF Niyati Bhasin

THE 21CSU142
STUDENT

SEMESTER/ YEAR 5 Sem/3rd year

MEMBERSHIP OF
COMMUNITY SERVICE
CLUB/SOCIETY AT NCU
(Name/s)

SIGNATURE AND DATE

Participation in Club activities at NCU

S.NO. RECIPIENT(S) OF DESCRIPTION OF ACTIVITY DATE NAME OF NO. OF

SERVICES CLUB HOURS
1 HOOD CLUB Small Hands Big aims 2.0 12
2 IEEE HAC Hygiene Donation 4 Sept-7 5
sept 23
3 IEEE HAC Food Donation 4–7 3
SEPT 23
4 IEEE HAC Plastic bottle collection drive 26 – 28 3
sept
2023

TOTAL NO. OF HOURS 23

Participation in activities conducted outside of NCU

S.NO. RECIPIENT(S) OF DESCRIPTION OF ACTIVITY DATE NAME OF NO. OF

SERVICES NGO/FIRM/SOCIAL HOURS
INITIATIVE/SELF

9
 1 Yatan Foundation As student volunteers, we actively uplift Yatan Foundation 30
underprivileged students in slum areas
through education and holistic activities,
focusing on overall well-being and
personal development. These activities
included :
• Educational Outreach
• Provision of Basic Stationaries
Distribution of Food Items
• Stationery Drive

TOTAL NO. OF HOURS 30

 Students have to provide a report on work done under each activity. Detailed report along with
photographs/video and certificates obtained from NGOs/NCU Societies is to be submitted separately for
each activity as annexures.

EVALUATION LEVELS

ODD SEMESTER EVEN SEMESTER FINAL EVALUATION

Mid term End term Mid term End term Final Evaluation along with summer
internship evaluation.
Grade to be submitted to Dean
Office, total volunteered hours to be
submitted to Central Committee.

TO BE FILLED BY MENTOR AFTER EACH END TERM & FINAL EVALUATION

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 • NUMBER OF HOURS VOLUNTEERED:

>140 140 130-140 100-130 <100

• COMPLETENESS OF TRACKING FORM:

Duly filled tracking Duly filled tracking Duly filled tracking Duly filled tracking Incomplete tracking
forms for listed forms for most of forms for some of forms for fewer form
activities. activities (>80%). activities (>50%). activities (<30%).

• AUTHENTICITY OF PROOF(S) ATTACHED:

Detailed report Detailed report Report has Report does not Project report does
consisting of containing audio/video proofs have audio/video not have any
audio/video proofs audio/video proofs of some of the proofs of most audio/video proof.
of all activities. of most of the activities. activities (less than
activities (>80%) are 30%)
there.

• REMARKS FOR VOLUNTEERING COMMUNITY SERVICE:

• SIGN WITH DATE:

Annexure

The NorthCap University, Gurugram

REPORT OF ACTIVITY

Objective

Name of the activity

11
Contribution in the activity

Certificate/attendance proof (if any)

Report of the event (100 - 200 words)

Photographs/Videos

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