Total 12 Pages of this Form

I.D.

Bhagwan Parshuram Institute of Technology

PSP-4, Sector 17, Rohini, Delhi – 110089

STUDENTS ONGOING ACHIEVEMENT RECORD

Students Name: SATVIK GAUR

Enrollment No.: 1820803923

Class Roll No.:

Batch of Admission: 2023-24

Course (at admission time): MBA

Course (after up gradation if any):

S.No. Mentors Name Designation Department Contact No.

In case of emergency, inform:

Mentor’s Signature:

1
ogy

Duration

2
 STUDENTS ONGOING ACHIEVEMENTS RECORD

Personal Details (PART 1)

Please fill Appropriate Categories:

Course: B.Tech. / MBA/ BBA

Discipline:
Admission Date:
Batch:
Male/Female:
SC/ ST/OBC/GEN./J&k

Delhi/Outside Delhi/Kashmiri
Migrant/Defence/ Physically Handicap

Personal Details of Student (Fill below all details in Block letters only)

Name:
Tel. (LL):
Mobile:
Email:
Date of Birth :(dd/mm/yyyy)
Date of joining BPIT:
Class Roll:
University Enrollment No.:
Blood Group:
Identification mark on body:

Present Address

Details of Parents:

Father’s Name:
Occuptaion:

Residential Address:

Res. Tel. (LL)*

Mobile:
Email:
3
Office Address:

Fax
Off. Tel. (LL)*:
Mother’s Name:
Occupation:

Residential Address:

Res. Tel. (LL)*:

Mobile:
Email:

Office Address (if working):

Off. Tel. (LL)*:

Fax
Family Status: Joint/ Nuclear
No. of Brothers/Sisters:

Sibling studied/studying at BPIT (give

details): If any

Day Scholar/Hosteller/Paying Guest:

Hostel Room No. or PG address:

Name and Class of Room Partner or PG

mate:

Name of local guardian:

Relationship with the student:
Qualification:
Profession:

Residential Address:

Res. Tel. (LL)*:

Mobile:

Office Address:

Off. Tel. (LL)*:

Fax:
Email:

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*Note: Mention STD code for Landline No.

Mentor’s Signature:

5
 Personal Details (PART 2)

Paste recent Paste recent Paste recent

Passport size color Passport size color Passport size
photograph photograph color photograph

Student Father Mother Local Gu

Signature Signature Signature

Signature of Student
Date:

Fee Paid Institute Fee Hostel Fee

Receipt
Date Receipt No. Amount* Date Amount*
No.

I Year

II Year

III Year

IV Year

* Mention city code along with all landline numbers

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 Paste recent
Passport size
color photograph

Local Guardian

Signature

*Free-
ship/ Half
free-ship

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Name: Enrollment No.:
Academic Record (Prior to joining BPIT)

Board/
Exam Passed School/ College Year Division % Marks
University

×
×II*
Polytech. Dip.
B.Sc.
Any Other
*Aggregate in Rank in
PCM= CET=

Have you received any scholarship? If yes then give details:

Semester wise details of Back Log Papers

Semester

Backlog subjects
I II III IV V VI
& codes

Sub 1
DOC*
Sub 2
DOC*
Sub 3
DOC*
Sub 4
DOC*
Sub 5
DOC*
Sub 6
DOC*
Sub 7
DOC*
Sub 8
DOC*
Sub 9
DOC*
Sub 10
8
DOC*

Mentor’s Signature:

9
VII VIII

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11
 ACADEMIC RECORD
ACADEMIC RECORD
Attendance period
Paper Name with Code Ist IInd
A/H % A/H %

Semester Aggregate Percentage %

Action taken may include one or more
A= Student was called and counseled
B= Subject teacher was requested to help student personally
C= Extra class was arranged
D= Parent was contacted on phone and apprised
E= Letter written to parent
F= Parent was called and apprised
Mentor’s Signature:

ACADEMIC RECORD
Attendance period

Ist IInd
Paper Name with Code
A/H % A/H %

12
 Semester Aggregate Percentage %
Action taken may include one or more
A= Student was called and counseled
B= Subject teacher was requested to help student personally
C= Extra class was arranged
D= Parent was contacted on phone and apprised
E= Letter written to parent
F= Parent was called and apprised
Mentor’s Signature:

ACADEMIC RECORD
Attendance period
Ist IInd
Paper Name with Code
A/H % A/H %

Semester Aggregate Percentage %

Action taken may include one or more
A= Student was called and counseled
B= Subject teacher was requested to help student personally
C= Extra class was arranged
D= Parent was contacted on phone and apprised
E= Letter written to parent
F= Parent was called and apprised
Mentor’s Signature:

13
ACADEMIC RECORD
Attendance period
Ist IInd
Paper Name with Code
A/H % A/H %

Semester Aggregate Percentage %

Action taken may include one or more
A= Student was called and counseled
B= Subject teacher was requested to help student personally
C= Extra class was arranged
D= Parent was contacted on phone and apprised
E= Letter written to parent
F= Parent was called and apprised
Mentor’s Signature:

ACADEMIC RECORD
Attendance period
Ist IInd
Paper Name with Code
A/H % A/H %

14
 Semester Aggregate Percentage %
Action taken may include one or more
A= Student was called and counseled
B= Subject teacher was requested to help student personally
C= Extra class was arranged
D= Parent was contacted on phone and apprised
E= Letter written to parent
F= Parent was called and apprised
Mentor’s Signature:

ACADEMIC RECORD
Attendance period
Ist IInd
Paper Name with Code
A/H % A/H %

Semester Aggregate Percentage %

Action taken may include one or more
A= Student was called and counseled
B= Subject teacher was requested to help student personally
C= Extra class was arranged
D= Parent was contacted on phone and apprised
E= Letter written to parent
F= Parent was called and apprised
Mentor’s Signature:

15
ACADEMIC RECORD
Attendance period
Ist IInd
Paper Name with Code
A/H % A/H %

Semester Aggregate Percentage %

Action taken may include one or more
A= Student was called and counseled
B= Subject teacher was requested to help student personally
C= Extra class was arranged
D= Parent was contacted on phone and apprised
E= Letter written to parent
F= Parent was called and apprised
Mentor’s Signature:

16
ACADEMIC RECORD
Attendance period
Ist IInd
Paper Name with Code
A/H % A/H %

Semester Aggregate Percentage %

Action taken may include one or more
A= Student was called and counseled
B= Subject teacher was requested to help student personally
C= Extra class was arranged
D= Parent was contacted on phone and apprised
E= Letter written to parent
F= Parent was called and apprised
Mentor’s Signature:

17
C RECORD (Semester Wise)

e period
Internal Exam End Sem.
IIIrd (from Univ.
A/H % 1st Test 2nd Test Total Final results)
(T1) (T2) (T1+T2) (T1+T2+A)

Percentage %

e period
Internal Exam End Sem.
IIIrd
(from Univ.
A/H % 1st Test 2nd Test Total Final results)
(T1) (T2) (T1+T2) (T1+T2+A)

18
Percentage %

e period
Internal Exam End Sem.
IIIrd
(from Univ.
A/H % 1st Test 2nd Test Total Final results)
(T1) (T2) (T1+T2) (T1+T2+A)

Percentage %

19
e period
Internal Exam End Sem.
IIIrd
(from Univ.
A/H % 1st Test 2nd Test Total Final results)
(T1) (T2) (T1+T2) (T1+T2+A)

Percentage %

e period
Internal Exam End Sem.
IIIrd
(from Univ.
A/H % 1st Test 2nd Test Total Final results)
(T1) (T2) (T1+T2) (T1+T2+A)

20
Percentage %

e period
Internal Exam
IIIrd End Sem.
(from Univ.
A/H % 1st Test 2nd Test Total Final results)
(T1) (T2) (T1+T2) (T1+T2+A)

Percentage %

21
e period
Internal Exam
IIIrd End Sem.
(from Univ.
A/H % 1st Test 2nd Test Total Final results)
(T1) (T2) (T1+T2) (T1+T2+A)

Percentage %

22
e period
Internal Exam
IIIrd End Sem.
(from Univ.
A/H % 1st Test 2nd Test Total Final results)
(T1) (T2) (T1+T2) (T1+T2+A)

Percentage %

23
(Semester I)

Action taken
with Date*

A/B/C/D/E/F

(Semester II)

Action taken
with Date*

A/B/C/D/E/F

24
(Semester III)
Action taken
with Date*

A/B/C/D/E/F

25
(Semester IV)
Action taken
with Date*

A/B/C/D/E/F

(Semester V)
Action taken
with Date*

A/B/C/D/E/F

26
(Semester VI)
Action taken
with Date*

A/B/C/D/E/F

27
(Semester VII)
Action taken
with Date*

A/B/C/D/E/F

28
(Semester VIII)
Action taken
with Date*

A/B/C/D/E/F

29
 Year Wise Attendance Record

Attendance
Date of No. of Classes No. of Classes No. of Classes
S.No. Period (Duration) % Attendance
Commencement: Scheduled* held** Attended

1 (Semester I)
2 (Semester II)
3 (Semester III)
4 (Semester IV)
5 (Semester V)
6 (Semester VI)
7 (Semester VII)
8 (Semester VIII)

Mentor’s Signature:

30
Action Student
Taken# Signature

31
 Details of Trainings & Courses completed

S.No. Period

10

Mentor’s Signature:

32
& Courses completed
Name and Address of Organization with phone/ cell no. and Email-
Nature of Training
id

33
Certificate Awarded

34
 Minor Project

Title:

Duration:

Supervisor’s name:

Major Project

Title:

Duration:

Supervisor’s name:

Publications in Journal (Details with copy of publication, if provided):

Papers presented in Conferences (Details with copy of paper, with proof of presentation):

Patent, if any (Details with the name and address of other authors):

Efforts being made to achieve the goals:

35
36
 Extra-curricular & Co-curricular Activities

Sports & Games:Participated in Intra/Inter Institute/University Sports Meet, etc.

Semester

Semester I II III IV V VI
S.No. EVENT Outcome EVENT Outcome EVENT Outcome EVENT Outcome EVENT Outcome EVENT

Mentor’s Signature:

37
vities

ports Meet, etc.

VI VII VIII
Outcome EVENT Outcome EVENT Outcome

38
 Debate/Quiz/Talk/ Technical Programmes, et
Semester

Semester I II III IV V
S.No. EVENT Outcome EVENT Outcome EVENT Outcome EVENT Outcome EVENT

Mentor’s Signature:

39
al Programmes, etc.

V VI VII VIII
Outcome EVENT Outcome EVENT Outcome EVENT Outcome

40
 Participation in Cultural & including social activity Anugo
Semester

Semester I II III IV
S.No. EVENT Outcome EVENT Outcome EVENT Outcome EVENT Outcome

Mentor’s Signature:

41
social activity Anugoonj & Corona, etc.
mester

V VI VII VIII
EVENT Outcome EVENT Outcome EVENT Outcome EVENT Outcome

42
 Placement Record

Where
S.No. Date Company Name Outcome
appeared

Details of Competitive Examination in which appeared:

Date Name of Examination Conducted by Outcome

S.No.

Mentor’s
Signature:

43
Remarks

44
 Assessment made by Mentor
(Semester I)

Strength:

Weakness:

Special Achievement, if any:

Suggestions &
Recommendation:

Comments: Head

Principal
Executive Director

(Semester II)

Strength:

Weakness:

Special Achievement, if any:

45
Suggestions &
Recommendation:

Comments: Head

Principal
Executive Director

Assessment made by Mentor

(Semester III)

Strength:

Weakness:

Special Achievement, if any:

Suggestions &
Recommendation:

Comments: Head

Principal
Executive Director

(Semester IV)

Strength:

46
Weakness:

Special Achievement, if any:

Suggestions &
Recommendation:

Comments: Head

Principal
Executive Director

Assessment made by Mentor

(Semester V)

Strength:

Weakness:

Special Achievement, if any:

Suggestions &
Recommendation:

Comments: Head

47
Principal
Executive Director

(Semester VI)

Strength:

Weakness:

Special Achievement, if any:

Suggestions &
Recommendation:

Comments: Head

Principal
Executive Director

Assessment made by Mentor

(Semester VI)

Strength:

Weakness:

Special Achievement, if any:

48
Special Achievement, if any:

Suggestions &
Recommendation:

Comments: Head

Principal
Executive Director

(Semester VIII)

Strength:

Weakness:

Special Achievement, if any:

Suggestions &
Recommendation:

Comments: Head

Principal
Executive Director

49