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ANNEXURE 2

Format of Internal Assessment


Name & Address of the Assessor : Year of Enrollment :
Name & Address of the ITI : Date of Assessment :
Name & Address of the Industry: Assessment Location (Industry/ITI) :
Trade Name : Examination : I/II Duration of Trade/Course :
Learning Outcome:
Maximum marks(Total 100 marks) 15 10 10 5 10 10 10 15 15

assessment Marks
Total internal
tools & equipments
written instructions
Workplace hygiene

Result (Y/N)
& Economical use

Ability to fo llow

Quality in work-
Sl. No.

Speed in doing
Skill to han dle
consciousness

Application of
Attendance &
of materials
Candidate Name Father's/Mother's Name

Punctuality

knowledge

manship
Safety

work

Viva
1 #N/A
2 #N/A
3 #N/A
4 #N/A
5 #N/A
6 #N/A
7 #N/A
8 #N/A
9 #N/A
10 #N/A
11 #N/A
12 #N/A
13 #N/A
14 #N/A
15 #N/A
16 #N/A
17 #N/A
18 #N/A
19 #N/A
20 #N/A
21 #N/A
22 #N/A
23 #N/A
24 #N/A
Group Instructor Signature, Name & Designation of Trainer
Principal/Vice Principal

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