Professional Documents
Culture Documents
Mentor's Booklet
Mentor's Booklet
Mentor's Booklet
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In case of emergency, inform:
Mentor’s Signature:
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STUDENTS ONGOING ACHIEVEMENTS RECORD
Delhi/Outside Delhi/Kashmiri
Outside Delhi
Migrant/Defence/ Physically Handicap
Personal Details of Student (Fill below all details in Block letters only)
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Identification mark on body: CUT MARK ON LEFT WRIST
22/138A KATH MANDI GANDHI NAGAR SONIPAT
Present Address
Details of Parents:
Fax
Off. Tel. (LL)*:
Mother’s Name: Anita Tendulkat
Occupation: HOUSEWIFE
22/138A KATH MANDI GANDHI NAGAR SONIPAT
Residential Address:
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Office Address (if working):
Residential Address:
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Office Address:
Mentor’s Signature:
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Personal Details (PART 2)
Paste recent Paste recent Paste recent Paste recent
Passport size Passport size Passport size Passport size
color photograph color color color
photograph photograph photograph
Signature of Student
Date:
IV Year
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* Mention city code along with all landline numbers
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Name: Enrollment No.:
Academic Record (Prior to joining ADGITM)
Exam Passed School/ College Board/ Year Division % Marks
University
× Hindu VidyapeethCBSE 2016 Ist 91.2
×II* Hindu VidyapeethCBSE 2018 Ist 86.60%
Polytech. Dip.
B.Sc.
Any Other
*Aggregate in 91.33
Rank in 4205
PCM= CET=
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Sub 5
DOC*
Sub 6
DOC*
Sub 7
DOC*
Sub 8
DOC*
Sub 9
DOC*
Sub 10
DOC*
Mentor’s Signature:
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ACADEMIC RECORD (Semester Wise)
ACADEMIC RECORD
Attendance period
S.No. Paper Name with Code Ist IInd IIIrd
A/H % A/H % A/H
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Mentor’s Signature:
ACADEMIC RECORD
Attendance period
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Mentor’s Signature:
ACADEMIC RECORD
Attendance period
Ist IInd IIIrd
S.No. Paper Name with Code
A/H % A/H % A/H
1
2
3
4
5
6
7
8
9
10
11 Semester Aggregate Percentage % 83.8
Action taken may include one or more
A= Student was called and counseled
B= Subject teacher was requested to help student personally
C= Extra class was arranged
D= Parent was contacted on phone and apprised
E= Letter written to parent
F= Parent was called and apprised
Mentor’s Signature:
ACADEMIC RECORD
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Attendance period
Ist IInd IIIrd
S.No. Paper Name with Code
A/H % A/H % A/H
1
2
3
4
5
6
7
8
9
10
11
ACADEMIC RECORD
Attendance period
S.No. Paper Name with Code
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Ist IInd IIIrd
S.No. Paper Name with Code
A/H % A/H % A/H
1
2
3
4
5
6
7
8
9
10
11
ACADEMIC RECORD
Attendance period
Ist IInd IIIrd
S.No. Paper Name with Code
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S.No. Paper Name with Code
A/H % A/H % A/H
1
2
3
4
5
6
7
8
9
10
11
ACADEMIC RECORD
Attendance period
Ist IInd IIIrd
S.No. Paper Name with Code
A/H % A/H % A/H
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S.No. Paper Name with Code
1
2
3
4
5
6
7
8
9
10
11
ACADEMIC RECORD
Attendance period
Ist IInd IIIrd
S.No. Paper Name with Code
A/H % A/H % A/H
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1
2
3
4
5
6
7
8
9
10
11
Semester Aggregate Percentage %
Action taken may include one or more
A= Student was called and counseled
B= Subject teacher was requested to help student personally
C= Extra class was arranged
D= Parent was contacted on phone and apprised
E= Letter written to parent
F= Parent was called and apprised
Mentor’s Signature:
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D (Semester Wise)
(Semester I)
Action taken
Internal Exam End Sem. with Date*
IIIrd (from Univ.
% 1st Test 2nd Test Total Final results)
A/B/C/D/E/F
(T1) (T2) (T1+T2) (T1+T2+A)
18 47 65
21 51 72
19 47 66
21 46 67
92/100
18 50 68
20 53 73
38 54 92
33 55 88
35 51 86
36 54 90
38 50 88
38 56 94
0.06
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(Semester II)
Action taken
Internal Exam End Sem. with Date*
IIIrd
(from Univ.
% 1st Test 2nd Test Total Final results)
A/B/C/D/E/F
(T1) (T2) (T1+T2) (T1+T2+A)
7.41
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(Semester III)
Internal Exam Action taken
IIIrd End Sem. with Date*
(from Univ.
% 1st Test 2nd Test Total Final results) A/B/C/D/E/F
(T1) (T2) (T1+T2) (T1+T2+A)
3.8
(Semester IV)
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Action taken
Internal Exam End Sem. with Date*
IIIrd
(from Univ.
% 1st Test 2nd Test Total Final results) A/B/C/D/E/F
(T1) (T2) (T1+T2) (T1+T2+A)
2.66
(Semester V)
Internal Exam Action taken
End Sem. with Date*
(from Univ.
results)
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Action taken
Internal Exam End Sem. with Date*
IIIrd
(from Univ.
% 1st Test 2nd Test Total Final results) A/B/C/D/E/F
(T1) (T2) (T1+T2) (T1+T2+A)
(Semester VI)
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End Sem.
(from Univ.
% 1st Test 2nd Test Total Final results)
A/B/C/D/E/F
(T1) (T2) (T1+T2) (T1+T2+A)
(Semester VII)
Action taken
Internal Exam
IIIrd End Sem. with Date*
(from Univ.
% 1st Test 2nd Test Total Final results)
A/B/C/D/E/F
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End Sem.
(from Univ.
results)
A/B/C/D/E/F
(T1) (T2) (T1+T2) (T1+T2+A)
(Semester VIII)
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%
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Year Wise Attendance Record
Attendance
Date of No. of Classes No. of Classes No. of Classes Action Student
S.No. Period (Duration) Commencement: Scheduled* held** Attended % Attendance Taken# Signature
1 (Semester I)
2 (Semester II)
3 (Semester III)
4 (Semester IV)
5 (Semester V)
6 (Semester VI)
7 (Semester VII)
8 (Semester VIII)
Mentor’s Signature:
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Details of Trainings & Courses completed
Name and Address of Organization with phone/ cell no. and Email-
S.No. Period
id
1 May - July 2020 CodeSpeedy India Pvt. Ltd.
10
Mentor’s Signature:
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Nature of Training Certificate Awarded
Virtual Yes
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Minor Project
Duration: 0/6/20-30/6/20
Major Project
Title:
Duration:
Supervisor’s name:
Papers presented in Conferences (Details with copy of paper, with proof of presentation):
Patent, if any (Details with the name and address of other authors):
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Efforts being made to achieve the goals:
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Extra-curricular & Co-curricular Activities
Semester
Mentor’s Signature:
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VIII
EVENT Outcome
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Debate/Quiz/Talk/ Technical Programmes, etc.
Semester
Semester I II III IV V VI
S.No. EVENT Outcome EVENT Outcome EVENT Outcome EVENT Outcome EVENT Outcome EVENT Outcome
Mentor’s Signature:
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VII VIII
EVENT Outcome EVENT Outcome
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Participation in Cultural & including social activity Anugoonj & Teacher's day, etc.
Semester
Semester I II III IV V VI
S.No. EVENT Outcome EVENT Outcome EVENT Outcome EVENT Outcome EVENT Outcome EVENT
Mentor’s Signature:
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cher's day, etc.
VI VII VIII
Outcome EVENT Outcome EVENT Outcome
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Placement Record
S.No.
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3
Mentor’s
Signature:
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Assessment made by Mentor
(Semester I)
Strength:
Weakness:
Suggestions &
Recommendation:
Comments: Head
Director-IQAC
Director
(Semester II)
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Strength:
Weakness:
Suggestions &
Recommendation:
Comments: Head
Director-IQAC
Director
Strength:
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Strength:
Weakness:
Suggestions &
Recommendation:
Comments: Head
Director-IQAC
Director
(Semester IV)
Strength:
Weakness:
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Weakness:
Suggestions &
Recommendation:
Comments: Head
Director-IQAC
Director
Strength:
Weakness:
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Weakness:
Suggestions &
Recommendation:
Comments: Head
Director-IQAC
Director
(Semester VI)
Strength:
Weakness:
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Special Achievement, if any:
Suggestions &
Recommendation:
Comments: Head
Director-IQAC
Director
Strength:
Weakness:
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Suggestions &
Recommendation:
Comments: Head
Director-IQAC
Director
(Semester VIII)
Strength:
Weakness:
Suggestions &
Recommendation:
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Suggestions &
Recommendation:
Comments: Head
Director-IQAC
Director
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