Students Mentoring System (SMS)

Part-1
Student’s Profile

Name of the School : ______________________________

Name of the Programme: __________________
Academic Session : _________
Student’s
Photo
1. Name of Student:
2. Roll No:
3. Batch:
4. Roll No:
5. Name of Faculty Mentor:

6. PERSONAL INFORMATION

6.1 Present/Mailing Address

6.2 Permanent Address
6.3 Date of Birth
6.4 Blood Group
6.5 Mob. No.
6.6 Aadhar No. (Optional)
6.7 Father’s Name & Address
Father’s Occupation
Mob. No/ Telephone: Office &
Home (Land Line)/ Email
6.8 Mother’s Name & Address
Mother’s Occupation
Mob. No/ Telephone: Office &
Home (Land Line)/ Email
6.9 Name & address of the Local
Guardian
Mob. No/ Telephone: Office &
Home (Land Line)/Email
7 Educational Qualification % of Marks/ Grade/ Division/Class

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8 Goal of Life
9 Special Skills//Talents
10 Hobbies & Special Interests
11 Health Problems (if Any)

12 Performance at BSoM
12.1 End-Semester Exam Results SGPA / % of Marks
Semester -I
Semester -II
Semester -III
Semester -IV
Semester -V
Semester -VI
13 Participation in Co/Extra –
Curricular Activities
13.1 Co-Curricular

13.2 Extra-Curricular

13.3 Member of any Club/Conduit

13.4 Any Special achievements
14 Details of Participation in the
Mentoring Activities/
attendance in Mentor-Mentee
Meeting
15 Important Observations on
Conduct/ Behaviour
16 Any other Issues

Signature of Student
Date:

Name & Signature of Faculty Mentor

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 Part-2
Minutes of the Mentor-Mentee Meeting

1. Date & Timing of the Meeting:

2. Meeting Sl. No.
3. Name of the Mentee:
4. Roll No
5. Programme
6. Batch
7. Details/Issues discussed:

(i)

(ii)

(iii)

8. Suggestions made / Guidance given:

Name & Signature of the Faculty Mentor

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 Part-3
Progress/Improvement Assessment Chart

1. Name of the Student (Mentee):

2. Roll No:
3. Programme:
4. Faculty Mentor:
5. Date of Meeting/Assessment:
6. Batch:

Please rate on a scale of 1-5. 1- Very poor, 2-Poor, 3-Average, 4-Good, 5-Excellent

Semester I
1 2 3 4 5
Personal
Confidence
Dressing sense
Adaptability
Hygiene
Punctuality
Attitude
Temperament
Languages known
Academics
End semester results
Quality of projects & assignments
Co-curricular engagement
Extra- curricular engagement
Quality of presentations
Task completion
Professional
Critical thinking & creativity
Interpersonal skills
Business communication
Time management
Integrity
Workplace etiquettes
Leadership skills
Entrepreneurial skills
Problem solving
Others
Societal Consciousness
Environmental Consciousness
Gender Sensitivity
Signature of the Faculty Mentor
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 Part-4
Personal SWOC Analysis of the Student (Mentee)

Name of the Mentee:

Strengths: Weaknesses:

Opportunities: Challenges:
Prescribe Value added courses /Certificate
Course:
(at least 1 course in one semester)

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