Annexure ‘C’

Charotar University of Science and Technology (CHARUSAT)

Student Counselling System
Counsellor Response Sheet
(To be filled in by Teacher Counsellor)

Name of the Student ID Number

Institute/
Semester
Department
General Information
e-governance details
1 Yes No
duly filled in
Are parents/ guardians
2 updated about Student’s Yes No
performance?
Yes No
3 Fees Paid If no, Specify reason:

A. Academics Matters {Kindly tick (√) and elaborate wherever necessary}

1 Classroom Attendance Regular 70% & above Irregular (Less than 70%)
Regularity in submission
2 of Assignments/ Project Regular Irregular
Report, etc.
Teaching Methods Comprehension
Academic challenge Kindly Specify:
3
faced

Appeared in all Examinations Inability to appear in few

Regularity in appearing If could not appear in any Internal/ External Examination, Specify the reason:
4
Internal/ Examination

Used Unfair Means

5 Yes No
during Examination
6 Desired Performance
7 Actual Performance
8 Area of Concern, if any
1
Remedial Suggestions 2
9
for Improvement 3
4
Career Guidance in line
10 with student’s Career
Choice/ Goal
 Annexure ‘C’

B. Social Matters {Kindly tick (√) and or elaborate wherever necessary}

with Faculty Members:
Good Fair Needs Attention
Sense of adaptability/ with Friends & Peers:
1
Inter-personal Relation Good Fair Needs Attention
with Family Members & /Relatives:
Good Fair Needs Attention
Sense of Working in
2 Good Fair Needs Attention
group/ team
1

Remedial Suggestions 2
3 for Improvement
(If required) 3

C. Personal Matters affecting his/her career/ life

Personality Trait of
1 Introvert Extrovert
Student
2 Student’s Temperament Has Scientific Temper Is Aggressive
Student’s Attitude
Requires constant
3 towards studies/ other Proactive Reactive
motivation to perform
areas
Needs
Proficiency in Speak Read Write
Attention
4 Communication Skill English
Hindi
Vernacular
In Classroom:
Good Fair Needs Attention
With Others:
Student’s behavioral
5 Pattern Good Fair Needs Attention
Any Special Observation:

6 Emotional Stability
Home Sickness (For
a. Able to Cope Unable to Cope
those staying in Hostel)
Academic Friends Family
b. Stress Factors Comparison
Personal Health Finances
with others
 Annexure ‘C’

Works well even under pressure Unable to cope with pressure

c. Mental Strength Able to cope with unforeseen Unable to cope with
events unforeseen events
1

Remedial Suggestions 2
7 for Improvement
(if required) 3

Name of the Teacher Counellor:_________________________

Signature:
Date: