CT Institute of …………………………………………………

Shahpur, Jalandhar, Punjab (India)

Mentor-Mentee Meeting Performa

Name_______________________________________________________________________
Recent
Father’s Name ________________________ Mother’s Name__________________________ Colored
passport size
Date of Birth_____________ Gender(M/F)_______ Category(SC/ST/OBC/EWS/General)________________
photograph
Roll No._________ Branch______________ Section _______Batch_______________
University Roll No_______________ Hostel/Day Scholar (If Hostel) Room No. _______________
Any loan taken for study (Detail) __________________________
Permanent Address ___________________________________________________________________________
___________________________________________________________________________________________
Contact No. Residence (Land line with STD code_________________ Mobile No.(Student’s)__________________
Mobile No.(Parent’s) __________________ E-Mail ID(Parent’s) )__________________
E-Mail ID(Student’s)________________________ Language Known__________________
Educational Qualifications:
Class Year of Passing Univ./Board %age of Marks Subjects Passed

Matric

Senior Sec.

Diploma

Any Other

Fee Detail
Semester Receipt no. Amount Mode of payment Date

1st

2nd

3rd

4th

5th

6th

7th

8th
 Performance 1st Semester:
Subject
Remarks
Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend.
MST-I
MST-II
SPPECIA
L TEST
(IF ANY)
Final
Exam
Any achievement:

Signature of Student Signature of Mentor

Performance 2nd Semester:

Subject
Remarks
Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend.
MST-I
MST-II
SPPECIA
L TEST
(IF ANY)
Final
Exam
Any achievement:

Signature of Student Signature of Mentor

Performance 3rd Semester:

Subject
Remarks
Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend.
MST-I
MST-II
SPPECIA
L TEST
(IF ANY)
Final
Exam
Any achievement:

Signature of Student Signature of Mentor

 Performance 4th Semester:
Subject
Remarks
Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend.
MST-I
MST-II
SPPECIA
L TEST
(IF ANY)
Final
Exam
Any achievement:

Signature of Student Signature of Mentor

Performance 5th Semester:

Subject
Remarks
Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend.
MST-I
MST-II
SPPECIA
L TEST
(IF ANY)
Final
Exam
Any achievement:

Signature of Student Signature of Mentor

Performance 6th Semester:

Subject
Remarks
Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend.
MST-I
MST-II
SPPECIA
L TEST
(IF ANY)
Final
Exam
Any achievement:

Signature of Student Signature of Mentor

 Performance 7th Semester:
Subject
Remarks
Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend.
MST-I
MST-II
SPPECIA
L TEST
(IF ANY)
Final
Exam
Any achievement:

Signature of Student Signature of Mentor

Performance 8th Semester:

Subject
Remarks
Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend.
MST-I
MST-II
SPPECIA
L TEST
(IF ANY)
Final
Exam
Any achievement:

Signature of Student Signature of Mentor

Performance 9th Semester:

Subject
Remarks
Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend.
MST-I
MST-II
SPPECIA
L TEST
(IF ANY)
Final
Exam
Any achievement:

Signature of Student Signature of Mentor

 Performance 10th Semester:
Subject
Remarks
Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend. Marks Attend.
MST-I
MST-II
SPPECIA
L TEST
(IF ANY)
Final
Exam
Any achievement:

Signature of Student Signature of Mentor

# Note: In case of annual system, half yearly performance may be recorded in tables above.

Other Details of Interest

Extra-Curricular Activities

Hobbies

Future Plan

Weaknesses

Remedial Action/Suggestion

Signature of Student Signature of Mentor

 Progress Report on Mentor-Mentee Meeting
(To be submitted at end of Semester)
Personal Problems/ Family Problems/Academic Problems/Any other

Roll Name of Student Date Points Discussed Improvement as a Signature of

No. result of Mentoring student

Signature of Mentor: