PUDUCHERRY TECHNOLOGICAL UNIVERSITY
PUDUCHERRY – 605 014
STUDENT PROFILE
NAME : …………………………………………………………….
COURSE and BRANCH : …………………………………………………………….
REGISTER NUMBER : …………………………………………………………….
YEAR OF ADMISSION : …………………………………………………………….
YEAR OF COMPLETION : …………………………………………………………….
PROGRAMME : M.Tech / MCA / M.Sc
NAME OF FACULTY ADVISIOR:
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PUDUCHERRY TECHNOLOGICAL UNIVERSITY
PUDUCHERRY – 605 014
1.Name : ……………………………………
2.Course& Branch :
3.Admission Category : CENTAC / OTHER
a. Region :PY / KA / MA / YA / OS PHOTO
b. Community :GE / OBC / BCM / EBC / EWS / MBC
/ SC / ST
c. Special Category :FF / DP / SP / PH
4.Register Number : ………………………………………
5.Date of Birth :…………………………………………………………….
6. Mother Tongue :…………………………………………………………….
7.Blood Group :…………………………………………………………….
8.Hosteller / Day Scholar :…………………………………………………………….
9. Parent/Guardian’s Name :…………………………………………………………….
10. Address for Communication : ..…………………………………………………………….
………………………………………………………………
………………………………………………………………
Email id:………………………………… Mobile Number:…………………………………
12.Permanent Address : …………………………………………………………….
………………………………………………………………
……………………………………………………………….
13.Family Details
Name of the Family Contact
Relationship Qualification Occupation
Member details
Annual Income of Parent / Guardian: Rs. ………………………..
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ENTRY LEVEL DETAILS
State Board / Matric / CBSE / Others: …………………………
Secondary
Name of the Institution
Level
Medium of Study
X STD.
Total Marks Out of % Year of Passing:
State Board / Matric / CBSE / Others: …………………………
Name of the Institution
Higher
Medium of Study
Secondary Out of
Total Marks % Year of Passing:
Level
Lang 1: Out of Lang 2: Out of
XII STD. Subjects/
Sub 1: Out of Sub 3: Out of
Marks
Sub 2: Out of Sub 4: Out of
CENTAC RANK
Category Overall Merit Rank Category Rank
UG DEGREE DETAILS
PROGRAMME AND DISCIPLINE:
NAME OF THE INSTITUTION WITH ADDRESS
ACADEMIC PERFORMANCE
SEMESTER GPA CGPA CREDITS SEMESTER GPA CGPA CREDITS
I V
II VI
III VII
IV VIII
CLASS / DISTINCTION: CGPA:
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I. DETAILS OF ACADEMIC PERFORMANCE
I (a). SEMESTER I
If failed in First
First Attempt Mark / Grade
Attempt
Subject Name of the
Subject Title Internal Marks University Grade Month
Code Faculty
Exam When and year
Max Scored Grade passed of passing
GPA CGPA Overall Attendance % Signature of
First year Faculty Advisor
I (b) SEMESTER ll
If failed in First
First Attempt Mark / Grade
Attempt
Subject Name of the
Subject Title Internal Marks University Grade Month
Code Faculty
Exam When and year
Max Scored Grade passed of passing
GPA CGPA Overall Attendance % Signature of
First year Faculty Advisor
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I (c). SEMESTER III
If failed in First
First Attempt Mark/ Grade
Attempt
Subject Name of the
Subject Title Internal Marks University Grade Month
Code Faculty
Exam When and year
Max Scored Grade passed of passing
GPA CGPA Overall Attendance % Signature of
Department Faculty Advisor
I (d). SEMESTER IV
If failed in First
First Attempt Mark / Grade
Attempt
Subject Name of the
Subject Title Internal Marks University Grade Month
Code Faculty
Exam When and year
Max Scored Grade passed of passing
GPA CGPA Overall Attendance % Signature of
Department Faculty Advisor
I (e). OVERALL ACADEMIC PERFORMANCE (Semester wise Marks / Grade & Credits)
SEMESTER GPA CGPA CREDITS
I
II
III
IV
CLASS / DISTINCTION: CGPA:
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I (f). MANDATORY (non-credit) AUDIT COURSES COMPLETED:
Subject Code Subject Title Name of the Faculty Grade (P / NC)
I (g). OPEN ELECTIVE COURSE COMPLETED
Subject Subject Department Name of First Attempt Mark/ Grade If failed in First Attempt
Code Title (offered) the Internal Marks University Grade Month and
name Faculty Exam When year of
Max Scored Grade passed passing
I (h). AWARDS / DISTINCTIONS WON:
I (i). MINI PROJECT TITLE:
I (j). PROJECT WORK TITLE & NAME OF THE GUIDE :
I (k). INTERNSHIP PROJECT (if undertaken)
DURATION PERIOD OF TRAINING
SL. NO. NAME & ADDRESS OF THE INDUSTRY
FROM TO
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II. DETAILS OF CO-CURRICULAR ACTIVITIES
II (a). SYMPOSIUM/ CONFERENCE PARTICIPATED / PAPERS PRESENTED
S. Details of the Conference / Session / Presented / Title of the paper Prizes
No Symposium (Name, Host institute Track Participated Won
/ department, venue, date …) Details
II (b). COURSES / TRAINING DONE BY INTEREST / SELF LEARNING
SL. DETAILS ABOUT THE DURATION CERTIFIED
NO COURSE/TRAINING BY
II. (c). INDUSTRIAL VISITS
SL. NO DETAILS ABOUT THE INDUSTRY PERIOD
FROM TO
II (d). MEMBERSHIP IN PROFESSIONAL BODIES:(ISTE, IEEE, IIChE, CSI, IEI etc.)
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III. DETAILS OF EXTRA CURRICULAR ACTIVITIES / ACHIEVEMENTS
III (a). POST HELD IN STUDENT’S COUNCIL/CLUBS
S. NO STUDENT COUNCIL / POSITION PERIOD
CLUB NAME HELD
III (b). PARTICIPATION / PRIZES WON IN CLUB EVENTS
S. No Name of the Event and Date Name of the club Prize’s won
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III. (c) PARTICIPATION / PRIZES WON IN CULTURAL / NSS / NCC EVENTS
S.NO Details of the Organizer’s In Campus / Regional / Prizes won
Event Detail National / International
III. (d) PARTICIPATION / PRIZES WON IN SPORTS EVENTS
S.NO Details of the Event Organizer’s In Campus / Regional / Prizes won
detail National / International
III (e) ANY OTHER ACTIVITY (Pl. Specify and Give Details)
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IV. EXIT LEVEL DETAILS
IV (a).PLACEMENT (Through In-Campus /Off-Campus – strike the appropriate option)
Name of the organization / company Position held Annual CTC Date of Joining
IV (b). ADMISSION TO HIGHER STUDIES
INSTITUTION / Programme / DURATION YEAR OF
UNIVERSITY Course with ADMISSION
specialization
IV (c). RATING OF THE STUDENT BY FACULTY ADVISOR
EXCELLENT VERY GOOD GOOD SATISFACTORY
IV (d). REMARKS BY HOD
Signature of the HOD
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V. DETAILS OF COUNSELING BY FACULTY ADVISOR
(For each semester minimum two counselling sessions, one after the first CAT results, another
after the previous semester results publication need to be conducted by the respective faculty
advisors and recorded without fail)
S. Semester Date of Purpose Did the parent / Signature of the Name and
No. Counseling Guardian Student and Signature
invited for the Parent / of the FA
meeting * Guardian
1
2
3
4
5
6
* If parent / guardian was called for the meeting give the details related to the communication sent (Email /
Letter / Phone, Proof, Date, Guardian / Parent, Contact details – phone no, email id,…)
HEAD OF THE DEPARTMENT
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VI. UPDATES FROM THE ALUMNUS
VI (a). PRESENT POSITION
SL.NO ORGANISATION/INSTITUTION POSITION DATE
VI (b). PRESENT ADDRESS
SL.NO ADDRESS CONTACT DATE
DETAILS
VI (c). AWARDS/DISTINCTION EARNED/PROMOTIONS
VI (d). ANY OTHER INFORMATION
Note:
The details given in this page may be collected during graduation / convocation
day function along with the registration form submission by online / offline.
One copy may be sent to the respective department for attachment in the profile
book and another to PTU alumni office for record.
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