Personal Information of Student

Photo
Name:

Date of birth:

Father’s Name:

Program:

Branch:

Semester:

Address:

Phone (Res.) Mobile:

Enrollment Number:

E-mail:

Blood Group: Identity Card Number:

Aadhar No.:

Bank Account Number Credit Card Number

Debit Card Number Insurance Policy Number

Car Registration Number

In case of Emergency:

(a) Name of Contact Person:

(b) Relationship:

(c) Contact Number:

(d) Address:
 Previous Academic Record (at the time of admission)
Details of Qualifying Examination Passed State/ National level
Achievements

Name of Name of Name of % Marks Academics/ Games/ Sports/

Qualifying School/ Board/ obtained Scholarship/ Cultural/
Examination College University Awards/ Others
Prizes

Financially supported by: (Parents/ State Government/ Bank Loan/ Others: Pl

specify) : Parents.

Academic Progress during the semester

Item I SEM II SEM III SEM IV SEM V SEM VI SEM VII VIII SEM
SEM

SGPA/ CGPA

No. of Back
Papers

Highest Grade
in the semester

Lowest Grade
in the semester

Approx. Rank
in the Class
(First 25%;
Next 25% etc.)

PT’s perception
of Academic
Progress on 10
Point Scale

Monitoring Attendance During the Academic Session ----------

Particulars Academic Session --------- ODD Academic Session --------- EVEN
Semester Semester

01 01 Oct 01 Nov 01 Dec 01 Feb 01 01 01

Sept ‘ March April May

No. of courses
in which
attendance is
< 75%

Maximum %
attendance
(All courses
taken
together)

Minimum %
Attendance
(All courses
taken
together)

Monitoring Weekly Tests/ Graded Assignments/ Lab Projects During the Academic
Session ----------

Particulars Academic Session ------------ ODD Academic Session ---------- EVEN

Semester Semester

01 01 Oct 01 Nov 01 Dec 01 Feb 01 01 01

Sept March April May

No. of weekly
test in which he
was ABSENT

No. of Graded
assignments
not submitted

No. of Lab.
Projects not
completed
 Monitoring DECA activities During the Academic Session --------------

Level of Participation in DECA Academic Session -------- ODD Academic Session ---------- EVEN
activities Semester Semester

01 01 01 01 01 01 01 01
Sept Oct Nov Dec Feb March April May
Activity Name &
Level

Community
Forum

Seminar/
Workshop/
Festival/
Exhibition

Co-curricular/
Other

Life Skill

Disciplinary (YES/ NO)

action against
the student

Although, the processes of handling student grievances has been laid down, and are
available in Student Handbook, sometimes, their problems are not solved OR there is
delay in handling the problems. The student then needs support from PT. Please keep a
record of efforts made by you in assisting the students.

Monitoring Redressal of Grievances of All the Student

S.No. Details of Grievances Details of Details of

of Support monitored
Stude provided on date
nt in on date --------
the --------
List

Nature Details

Late Registration

Weekly Test/ Graded Assignments/ Lab

Projects/ Project / Seminar
Academics
Related Poor CGPA. Needs Counseling

NOC for Internship

Mid-way exit from program

Changing the program

Complaint about quality of teaching

 Joining the company in the last semester

Additional Training/ Summer Internship

Info about foreign tie-ups

Info about Twinning program

Any other

Refund of Fee

Late fee submission

Finance Fee receipt missing

related
Bank Loan

Any Other

Wants Mark-sheet/ Provisional certificate/

Migration/ Degree

Correction in Mark-sheet
Examinatio
n Related Appeared in Exam, but marks are missing

Guidance for clearing Back Papers

Failing in DECA

Wants NO- Dues Certificate

Info about Special Examination

Info about Summer semester

Any other

Needs extra Leave with out loosing attendance

Detained due to poor attendance. Wants

counseling.
Attendance
Related Fail in Final year. Needs counseling.

Poor attendance due to genuine reasons. Needs

counseling

Any other

Other
matters