(ONE FOR EACH STUDENT OF THE

GROUP)
Personal Information of Student
Name

Sr. No. in the list :1

Father’s Name

Program Branch Semester

Address

Phone (Mobile) Enrollment Number

E-mail

Blood Group Identity Card Number

In case of Emergency: (a) Name of Contact Person :

(b) Relationship :
(C) Contact Number :
(d) Address :

Previous Academic Record (at the time of admission)

Details of Qualifying Examination State/ National

Passed level
Achievements

Name of Name Name % Academic Games/

Qualifyi of of Marks s/ Sports/
Scholars Cultur
ng School/ Board/ obtaine
hip/ al/
Examin College Univer d Awards/ Others
ation sity Prizes
 Financially supported by : (Parents/ State
Government/ Bank Loan/ Others : Pl specify)

Academic Progress during the semester

Item I II III IV V VI VII VIII
SE SE SE SE SE SE SE SEM
M M M M M M M

SGPA/
CGPA

No. of
Back
Papers

Highest
Grade in
the
semester

Lowest
Grade in
the
semester

Approx.
Rank in
the Class
(First
25%; Next
25% etc.)

PM’s
perceptio
n of
Academic
Progress
on 10
Point
Scale