LAKIREDDY BALI REDDY COLLEGE OF ENGINEERING
(AUTONOMOUS)
Approved by AICTE, New Delhi & Affiliated to JNTUK, Kakinada,
L B Reddy Nagar, Mylavaram-521 230, Krishna District, Andhra Pradesh, India.
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Student Profile and Mentoring Form
Program/Department : B.Tech (ECE / EEE / EIE / MECH / CIVIL / ASE / CSE / IT)
Name of the Mentor :
Designation :
No. of Students Allotted : Batch: Regulations:
S.No Regd. No Name of the Student
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Signature of Mentor Signature of HOD
PART-A : STUDENT PROFILE
Roll Number:
Name of the Student:
Date of Birth: D D -- M M -- Y Y Y Y
Gender: Male / Female PHOTO
Caste/Category: OC- / BC-A. B, C, D, E / SC / ST
Blood Group:
Email ID:
Mobile Number:
Aadhaar No:
SSC(10th): H.T.No: GPA/Marks:
Inter/Diploma: H.T.No: GPA/Marks:
Convener Quota(EAMCET/ECET/ICET/PGCET/GATE) /
Type of Admission:
Management Quata
Rank:
Hosteller/Day Scholar: Staying in College Hostel/Private Room/Days Scholar
Name of the Father:
Occupation:
Mobile No:
Email ID:
Name of the Mother:
Occupation:
Mobile No:
Brother & Sister Info:
Present Address (Student) Permanent Address (Parent)
Signature of Student Signature of Parent Signature of Mentor
PART-B : OVERALL DETAILS
B.1 Sem wise Attendance and Academic Performance:
% of Credits Backlog Subjects
Sem SGPA CGPA
Attendance Obtained No. Subject Names
I
II
III
IV
V
VI
VII
VIII
B.2 Higher Education Information:
Competitive Exams H.T.No. Score / Rank
GATE
GRE/ILETS
CAT/MAT
Others
B.3 Track Record of Placements:
S.No. Company/Organization Qualified in Written Test/ TR/MR/GD/HR Result
B.4 Employment Information:
S.No. Company/Organization During Study(On/Off Campus)/After Graduation Package
B.5 Additional Information
Year of Admission
Year of Pass
Award of Class First Class with Distinction / First Class / Second Class / Pass Class
CGPA
Conduct Excellent / Very Good / Good / Satisfactory
Signature of Mentor Signature of Dept. Placement Co-ordinator Signature of HOD
PART-C : ACADEMIC PERFORMANCE AND REGULARITY
C.1 Academic Performance (I-Semester) SGPA:
Continuous Internal Evaluation(CIE) - 40 Marks Final Grades
S.No. Name of the Course I-Mid I-Quiz II-Mid II-Quiz Assn Attn CIE
(20) (10) (20) (10) (5) (5) (40)
Regular Supply
1
2
3
4
5
6
7
8
9
10
C.2 Monthly Attendance
Date Overall
% of Attendance
Inform to Student / Signature
Inform to Parent / Signature
C.3 Participation in Symposia/ Seminars/Workshops/Sports/Games/NSS/NCC/Yoga etc
Date Event/Activity Organized By Outcome/Result
C.4 Achievements/Awards
S.No. Type Description
C.5 Counseling Report
Signature’s of
Date Parameter Suggestions by Mentor
Student Parent Mentor
Signature of Mentor Signature of Class Teacher Signature of HOD
II-Semester
C.1 Academic Performance SGPA:
Continuous Internal Evaluation(CIE) - 40 Marks Final Grades
S.No. Name of the Course I-Mid I-Quiz II-Mid II-Quiz Assn Attn CIE
(20) (10) (20) (10) (5) (5) (40)
Regular Supply
1
2
3
4
5
6
7
8
9
10
C.2 Monthly Attendance
Date Overall
% of Attendance
Inform to Student / Signature
Inform to Parent / Signature
C.3 Participation in Symposia/ Seminars/Workshops/Sports/Games/NSS/NCC/Yoga etc
Date Event/Activity Organized By Outcome/Result
C.4 Achievements/Awards
S.No. Type Description
C.5 Counseling Report
Signature’s of
Date Parameter Suggestions by Mentor
Student Parent Mentor
Signature of Mentor Signature of Class Teacher Signature of HOD
III-Semester
C.1 Academic Performance SGPA:
Continuous Internal Evaluation(CIE) - 40 Marks Final Grades
S.No. Name of the Course I-Mid I-Quiz II-Mid II-Quiz Assn Attn CIE
(20) (10) (20) (10) (5) (5) (40)
Regular Supply
1
2
3
4
5
6
7
8
9
10
C.2 Monthly Attendance
Date Overall
% of Attendance
Inform to Student / Signature
Inform to Parent / Signature
C.3 Participation in Symposia/ Seminars/Workshops/Sports/Games/NSS/NCC/Yoga etc
Date Event/Activity Organized By Outcome/Result
C.4 Achievements/Awards
S.No. Type Description
C.5 Counseling Report
Signature’s of
Date Parameter Suggestions by Mentor
Student Parent Mentor
Signature of Mentor Signature of Class Teacher Signature of HOD
IV-Semester
C.1 Academic Performance SGPA:
Continuous Internal Evaluation(CIE) - 40 Marks Final Grades
S.No. Name of the Course I-Mid I-Quiz II-Mid II-Quiz Assn Attn CIE
(20) (10) (20) (10) (5) (5) (40)
Regular Supply
1
2
3
4
5
6
7
8
9
10
C.2 Monthly Attendance
Date Overall
% of Attendance
Inform to Student / Signature
Inform to Parent / Signature
C.3 Participation in Symposia/ Seminars/Workshops/Sports/Games/NSS/NCC/Yoga etc
Date Event/Activity Organized By Outcome/Result
C.4 Achievements/Awards
S.No. Type Description
C.5 Counseling Report
Signature’s of
Date Parameter Suggestions by Mentor
Student Parent Mentor
Signature of Mentor Signature of Class Teacher Signature of HOD
V-Semester
C.1 Academic Performance SGPA:
Continuous Internal Evaluation(CIE) - 40 Marks Final Grades
S.No. Name of the Course I-Mid I-Quiz II-Mid II-Quiz Assn Attn CIE
(20) (10) (20) (10) (5) (5) (40)
Regular Supply
1
2
3
4
5
6
7
8
9
10
C.2 Monthly Attendance
Date Overall
% of Attendance
Inform to Student / Signature
Inform to Parent / Signature
C.3 Participation in Symposia/ Seminars/Workshops/Sports/Games/NSS/NCC/Yoga etc
Date Event/Activity Organized By Outcome/Result
C.4 Achievements/Awards
S.No. Type Description
C.5 Counseling Report
Signature’s of
Date Parameter Suggestions by Mentor
Student Parent Mentor
Signature of Mentor Signature of Class Teacher Signature of HOD
VI-Semester
C.1 Academic Performance SGPA:
Continuous Internal Evaluation(CIE) - 40 Marks Final Grades
S.No. Name of the Course I-Mid I-Quiz II-Mid II-Quiz Assn Attn CIE
(20) (10) (20) (10) (5) (5) (40)
Regular Supply
1
2
3
4
5
6
7
8
9
10
C.2 Monthly Attendance
Date Overall
% of Attendance
Inform to Student / Signature
Inform to Parent / Signature
C.3 Participation in Symposia/ Seminars/Workshops/Sports/Games/NSS/NCC/Yoga etc
Date Event/Activity Organized By Outcome/Result
C.4 Achievements/Awards
S.No. Type Description
C.5 Counseling Report
Signature’s of
Date Parameter Suggestions by Mentor
Student Parent Mentor
Signature of Mentor Signature of Class Teacher Signature of HOD
VII-Semester
C.1 Academic Performance SGPA:
Continuous Internal Evaluation(CIE) - 40 Marks Final Grades
S.No. Name of the Course I-Mid I-Quiz II-Mid II-Quiz Assn Attn CIE
(20) (10) (20) (10) (5) (5) (40)
Regular Supply
1
2
3
4
5
6
7
8
9
10
C.2 Monthly Attendance
Date Overall
% of Attendance
Inform to Student / Signature
Inform to Parent / Signature
C.3 Participation in Symposia/ Seminars/Workshops/Sports/Games/NSS/NCC/Yoga etc
Date Event/Activity Organized By Outcome/Result
C.4 Achievements/Awards
S.No. Type Description
C.5 Counseling Report
Signature’s of
Date Parameter Suggestions by Mentor
Student Parent Mentor
Signature of Mentor Signature of Class Teacher Signature of HOD
VIII-Semester
C.1 Academic Performance SGPA:
Continuous Internal Evaluation(CIE) - 40 Marks Final Grades
S.No. Name of the Course I-Mid I-Quiz II-Mid II-Quiz Assn Attn CIE
(20) (10) (20) (10) (5) (5) (40)
Regular Supply
1
2
3
4
5
6
7
8
9
10
C.2 Monthly Attendance
Date Overall
% of Attendance
Inform to Student / Signature
Inform to Parent / Signature
C.3 Participation in Symposia/ Seminars/Workshops/Sports/Games/NSS/NCC/Yoga etc
Date Event/Activity Organized By Outcome/Result
C.4 Achievements/Awards
S.No. Type Description
C.5 Counseling Report
Signature’s of
Date Parameter Suggestions by Mentor
Student Parent Mentor
Signature of Mentor Signature of Class Teacher Signature of HOD
