MAHENDRA COLLEGE OF ENGINEERING
Minnampalli, Salem -636 106.
DEPARTMENT OF ELECTRONICS AND COMMUNICATION
ENGINEERING
STUDENT PARTICULARS
FIX A PHOTO
I. Personal Details:
Name: Mode of Admission: G.Q/M.Q/Transfer
Roll No.: Reg. No.:
D.O.B.: Blood Group:
Mode of Study : Regular/LES Year of Admission:
Batch: Academic Year / Sem:
Phone Number: Email id:
Hosteller / Day scholar: Room No. (If hosteller) :
Bus No. (If Day scholar) :
Father’s Name: Father’s Occupation:
Mother’s Name: Mother’s Occupation:
Sibling’s Name: Sibling’s Occupation:
Father’s Phone Number: Mother’s Phone Number:
Religion: Community:
Nationality: Identification Marks:
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Present Address: Permanent Address:
SSLC: HSC:
Name of the Institution Name of the Institution
Last studied: Last studied:
Marks Obtained: Marks Obtained:
DIPOLMA:
Name of the Institution
Last studied:
Marks Obtained:
Fees Details: Particulars of Scholarships:
Student claims First Graduate/not:
SIGNATURE OF THE STUDENT SIGNATURE OF THE PARENT
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FIRST SEMESTER
SUBJECT DETAILS:
S.NO SUBJECT CODE SUBJECT NAME NAME & DESIGNATION
OF THE FACULTY
1
2
3
4
5
6
7
8
9
Attendance Details:
Attendance
Att. % as on Number of periods present Number of periods absent
Percentage
Performance in Internal Exams:
Term Test 1 Term Test 2 Term Test 3 Model Exam 1
SUBJECT Date Marks Date Marks Date Marks Date Marks
S.No SUBJECT NAME
CODE
1
8 No. of Subjects failed
STUDENT COUNSELING PARTICULARS
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Year 2017-18 Sem
Name of the student Phone number
Academic Achievements
Co – Curricular Activities
Extra Curricular Activities
Area of Counseling*
Counseling Details of Counseling Given
Date and Reason for counseling &
Time Remarks
*AC – Academics, DIS – Discipline, ATT – Attendance & OTS- Others
Mentor HOD-ECE
FIRST SEMESTER UNIVERSITY EXAM MARKS
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University exam marks
Sub Sub Int. No.of Attempts Total Parent’s
S.No
Code Name Marks marks Signature
1 2 3 4 5 6 7 8
10
Percentage of Attendance:
Remarks on Tests:
Signature of the Mentor Signature of the HOD
GENERAL REMARKS (FIRST SEMESTER)
Remarks on Tests:
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Attendance
Industrial visit
In plant training
Social Service activities
Literary & cultural events
Sports activities
General discipline
Responsibilities entrusted with
Awards won
Achievements made
Conduct & Character
Signature of the Mentor Signature of the HOD
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