JSS MAHAVIDYAPEETHA
JSS ACADEMY OF TECHNICAL EDUCATION
JSS Campus, Uttarahalli-Kengeri Main Road, Bangalore-60
Photo
MENTORS RECORD
BRANCH:
A. STUDENT PERSONAL INFORMATION:
Date of Birth
Name of Student
dd mm
yy
Sex
Admitted under
Admitted
CET/
Blood
on
COMDEK/
group
Rank
Mangt /
Date
Branch
Changed
branch
Lateral
USN:
Category
GM / SC /ST/ SNQ /
Others
Communication
Skills
Spoken
Games
Hobbies
Others
Written
Mobile:
E-mail:
B. PARENTS OR GUARDIAN DETAILS:
Name of the Father:
Occupation
Designation
Mother:
Occupation
Designation
Name of Guardian (Local)
Occupation
Address for correspondence:
Permanent Address
Phone:
Mobile:
E-mail:
Address
Phone:
Mobile:
E-mail:
Designation
Phone:
Mobile:
E-mail:
C. MENTOR
Name of the Faculty
Designation
Address
Signature of the student
Phone No.
E-mail ID
Signature of the Mentor
Page
1
D. ACADEMIC DETAILS:
T1
IA Marks
T2 T3 Av
Jan-
July-
External Exam Marks
JanJulyJan-
July-
T1
IA Marks
T2 T3 Av
July-
Jan-
External Exam Marks
JulyJanJuly-
Jan-
T1
IA Marks
T2 T3 Av
Jan-
External Exam Marks
JulyJanJulyJan-
July-
T1
IA Marks
T2 T3 Av
July-
External Exam Marks
JanJulyJanJuly-
Jan-
Semester : I
Subjects with code
Total Marks Obtained
% of Marks & Class
Semester : II
Subjects with code
Total Marks Obtained
% of Marks & Class
Semester : III
Subjects with code
Total Marks Obtained
% of Marks & Class
Semester : IV
Subjects with code
Total Marks Obtained
% of Marks & Class
Page
2
T1
IA Marks
T2 T3 Av
T1
IA Marks
T2 T3 Av
T1
IA Marks
T2 T3 Av
T1
IA Marks
T2 T3 Av
Jan-
July-
External Exam Marks
JanJulyJan-
July-
July-
External Exam Marks
JanJulyJanJuly-
Jan-
Jan-
External Exam Marks
JulyJanJulyJan-
July-
July-
External Exam Marks
JanJulyJanJuly-
Jan-
Semester : V
Subjects with code
Total Marks Obtained
% of Marks & Class
Semester : VI
Subjects with code
Total Marks Obtained
% of Marks & Class
Semester : VII
Subjects with code
Total Marks Obtained
% of Marks & Class
Semester : VIII
Subjects with code
Total Marks Obtained
% of Marks & Class
Page
3
E. AGREGATE OF I VIII SEMESTER DETAILS (Total marks obtained in each semester):
I
II
III
IV
VI
VI
VII
VII
VIII
VIII
Avg.
Avg.
Degree Awarded
Degree Awarded
Class
F. EXTRA CURICULAR DETAILS:
Name of the Event
Date
Place
Recognition
Cultural Activities
Remark
Name of the Event
Date
Place
Recognition
Sports Activities
Remark
Name of the Event
Date
Place
Recognition
Co Curricular
Remark
G. PROFESSIONAL SOCIETY MEMBERSHIP, IF ANY
Society Name
Membership No.
validly
H. PALCEMENT DETAILS
Name of Company
I.
Designation
HIGHER STUDIES DETAILS
Cleared with GATE:
GRE :
Page
4
Salary
Joining Date
GMAT:
CAT:
PGCET
Specialization
Name of
University/Institute
Competitive Exam
Name
Ranking
Page
5
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