Electrical Engineering Department

Institute of Engineering & Technology, Lucknow

MENTORING RECORD

PHOTO

A. Personal Details:

Student’s Name : ……………………………………………………………………………….

Roll No : ………………………..Mobile: ……………………Date of Birth: ………….

Branch : ………. ……….…Section: …….…… Academic Year: ………….………

Father’s/Guardian’s Name : ……………………………………….. Occupation: ………………………...

Parent’s Mobile No : ……………………………………… Land Line No: …………………….....

Student’s Email Id : ………………………………………………… Blood Group………...

Parent’s Email Id : ……………………………………………………………………………….

Address for Correspondence: ………………………………………………………………………………

(Permanent) ………………………………………………………………………………….

Address for Correspondence: ……………………………………………………………………………

(Temporary) …………………………………………………………………………………..

Details of any serious medical condition: …………………………………………………………………….

B. Educational Particulars:
Medium of Schooling:

Percentage Year of
Board Strengths and Weaknesses
PCM Overall Pass
1.
2.
3.
4.
5.
6.
UPSEE Rank: ……….

C. Accomplishments (Technical/ Cultural/Sports/ Social Activities):

Achievements Achievements
Sem-I Sem-II

Sem-III Sem-IV

Sem-V Sem-VI

Sem-VII Sem-VIII

D. Academic Performance: write subject codes or names of active Carry Papers (CP) and MOOCS as applicable

Semester SGPA CGPA

Regular
B. Tech - I Semester CP
MOOCS (NPTEL etc)
Overall Grade (All Pass) Class Rank:
Regular
B.Tech - II Semester CP
MOOCS (NPTEL etc)
Overall Grade (All Pass) Class Rank:
Regular
B.Tech - III Semester CP
MOOCS (NPTEL etc)
Overall Grade (All Pass) Class Rank:
Regular
B.Tech - IV Semester CP
MOOCS (NPTEL etc)
Overall Grade (All Pass) Class Rank:
Regular
B.Tech - V Semester CP
MOOCS (NPTEL etc)
Overall Grade (All Pass) Class Rank:
Regular
B.Tech - VI Semester CP
MOOCS (NPTEL etc)
Overall Grade (All Pass) Class Rank:
Regular
B.Tech - VII Semester CP
MOOCS (NPTEL etc)
Overall Grade (All Pass) Class Rank:
Regular
B.Tech - VIII Semester CP
MOOCS (NPTEL etc)
Overall Grade (All Pass) Class Rank:
 Aggregate in Semester
CGPA

E. Internships undergone:

Sl. Semester Industry/ Internship Title Duration

No. Organization

F. GATE /CAT/GRE Score (Rank):

G. Institute Joined for Higher Studies:

H. Placed in company:
I. (*To be filled by the Faculty In-charge)

Grading by the Mentor at the End of Every Semester (On Scale of 5)

Sem-I Sem-II Sem-III Sem-IV Sem-V Sem-VI Sem-VII Sem-VIII

Academics
Attendance
General Discipline
Communication Skills
Behavior with Peers
Behavior with Faculty
Co-Curricular Activities
Extra -Curricular Activities
Behavior in Hostel
Career Readiness
Exam Readiness
Timely Submission of
Feedback and Copies of
Certificates
Overall Grading
Major Problems, Warnings
Issued, Disciplinary action
taken
Mentor Signature:
HOD Signature:

Grading Scale:5-Excellent, 4-Very Good, 3-Needs Improvement, 2-Needs Counseling, 1-Parents to be intimated

J. Mentoring Details:

Student Mentor's Name

Semester Date Remarks by Mentor
Signature & Signature

II
III

IV

VI

VII

VIII

HoD