Chandigarh Group of Colleges, Landran

MENTOR FORM
Name Of Student
DOB 15/2/2005
varnika Sood Student Photo
Father's & Mother's Name: Student ID No.: 2237066
Atul Sood/

Name of the Department / Institute: Applied Science /CEC

Class: CSE G Session: 2022-23 Semester: 1st Blood Group:O+

Permanent Address : SF8 Phase 1 Ashiana Complex MDC sector 4 panchkula
Country: India State: Haryana District: Panchkula City: Panchkula

Local Address:SF8 Phase 1 Ashiana Complex MDC sector 4 panchkula

Country: India State: Haryana District: Panchkula City: Panchkula

Student Mobile Number: 6284741464 Parent Mobile Number (Father & Mother):9417144060 &
8837878793
Student email Id.: [email protected] Parent email Id.: [email protected]

Hosteller (Yes/No) : no Room No: nil Scholarship Eligibility (Yes / No): no Category: nil

Hostel Name:--------- nil Scholarship Form Filled (Yes / No): no

Applied for Bank Loan (Yes / No)

Parents
no
Occupation: Father- Private Bank Name-- no
job
Annual Income: 6 lakhs Loan Amount-- nil
pa

Unhealthy Habits & Ailments (If Any)--- NO % Marks In 10th : 94% % Marks In 12th: 88%

Aim of Education: To get a job

Signature of
Student
Dues Details Date Wise
-
Date
-
Balance
-
Submit On
Discipline, Personal Traits & Progressive Improvement in Weak Areas:

Whether Involved/Punished for any in disciplinary activity (Yes / No) if Yes, detail of In disciplinary act:
 Nature Of
Student
+ve Thinking: Extrovert: Aggressive:
-ve Thinking Introvert Non-Aggressive:
Communication Skill at the time of Admission:
Improvement in Communication Skills
For Odd For Even Sem
Sem
Sem 1 Sem 2
i. i.
ii. ii.
iii. iii.

Sem 3 Sem 4
i. i.
ii. ii.
iii. iii.

Sem 5 Sem 6
i. i.
ii. ii.
iii. iii.

Sem 7 Sem 8
i. i.
ii. ii.
iii. iii.

Improvement in Academics
For Odd For Even Sem
Sem
Sem 1 Sem 2
i. i.
ii. ii.
iii. iii.
Sem 3 Sem 4
i. i.
ii. ii.
iii. iii.
Sem 5 Sem 6
i. i.
ii. ii.
iii. iii.
Sem 7 Sem 8
i. i.
ii. ii.
iii. iii.

Improvement in PDP
For Odd For Even Sem
Sem
Sem 1 Sem 2
i. i.
ii. ii.
iii. iii.

Sem 3 Sem 4
i. i.
ii. ii.
iii. iii.

Sem 5 Sem 6
i. i.
ii. ii.
iii. iii.

Sem 7 Sem 8
i. i.
ii. ii.
iii. iii.

Special Remarks and Extent Of Improvement:

Interaction Between Mentor and

Student(Enter detail with date)
For Odd Sem For Even Sem
Date & Observation Date & Observation
Interaction With Parent - Mobile, SMS, During Visit (Odd Sem) (Enter detail with date)
Date Contacted Mobile Purpose Remarks
To

Interaction With Parent - Mobile, SMS, During Visit (Even Sem) (Enter detail with date)
Date Contacted Mobile Purpose Remarks
To

Details Of Communication By Letter Or Email(Enter detail with date)

Date Contacted Purpose Remarks & Reference Number
To
 Sem1- Marks Details In Sessional
Subject Code
Sessional MATHS BEE Physics EGD
Marks 18 11.5 15 21
1st
Marks Obt. / MM Attendance %
Marks 10
2nd
Attendance %
Semester attendance (Lectures attended
/Lectures Delivered)
Semester Attendance %
University Results (Grades)
SGPA
Weak /Bright Student Give Remarks, action taken and improvement

Sem2-Marks Details In Sessional

Subject Code
Sessional
1st Marks
Marks Obt. / MM Attendance %
2nd Marks
Attendance %
Semester attendance
(Lectures attended /Lectures
Delivered)
Semester Attendance %
University Results (Grades)
SGPA
Weak /Bright Student Give Remarks, action taken and improvement
Note: a separate sheet can be attached with the form if any extra information is to be filled or the space given
in the Mentor form is not sufficient.

Any Other Remarks

Name & Signature of Mentor Name & Signature of Mentor