Mentor Report card-Profrma
| Name of the Student |
xxxxxx |
Date of birth |
xxxxxxx |
| email id |
xxxxxx@xxxxx |
mobile No |
xxxxxxxxxx |
| Relegion |
xxxxxxx |
community |
xxxxxxx |
| Mother tongue |
xxxxxxx |
Nationality |
xxxxxxx |
| First generation learner |
Yes/No |
Differently abled |
Yes/No |
| Program |
BA/BSC/BCOM |
State |
xxxxxx |
| Second languge |
xxxxxxxx |
|
|
| |
|
|
|
Parent's Details
| |
Name |
Mobile Number |
Educational qualification |
Annual income |
| Father |
xxxxxxx |
xxxxxxxx |
xxxxxxx |
xxxxxx |
| Mother |
xxxxxxx |
xxxxxxxx |
xxxxxxx |
xxxxxx |
Local Gaurdian Details
| Name |
address |
mobile Number |
Alternate Number |
| xxxxxxx |
xxxxxx |
xxxxxx |
xxxxx |
| |
|
|
|
Academic Details I
| |
XII |
| Name of the Institution |
XXXXXX |
| Percentage of marks |
xxxxxxx |
Academic Details II
| Semester |
Name of the course |
Grade |
| xxxxx |
xxxxxxxxx |
x |
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
Mentor Details:
| Semester |
Name of the mentor |
| xxxxxx |
xxxxxxx |
Acheivements curricular, co-curricular and extra curricular activities: xxxxxxxxxx