Date:

Staff Name : Experience

(No of years):

Week of reporting : Leave

taken :

No of hours engaged
(Curricular) :

No of hours engaged
(Extra Curricular) :

Class Notes Writing/Enhancement

(Give unit no, no of pages added.
PPT, Additional materials) :

Software classes Conducted

(Give Details) :

Effort taken for language Improvement

(Give data that can be unified and non intrinsic):

No of Tutor hours engaged

(Give verifiable data) :

No of Journal papers written/worked on

(Give Topic) :
Specific commendable work done for Student improvement (If
any:

No of Lab hours Engaged :

Experiments taught in lab :

Contribution for research :

Contribution for Department

Development (If any) :

Contribution on Consultancy :

Lab maintenance undertaken :

Works done toward completing

Semester target :

HOD remarks :
Staff Sign HOD Sign Principal
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