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    Mentor-Mentee Format

    Uploaded by

    Zafar
    This document is a mentor-mentee form for a university student. It collects personal information about the student like name, family details, contact information, academic performance, and interests. It also has sections for the student and faculty mentor to provide details about advice and guidance discussed. The form is used to pair a student with a faculty mentor as part of the university's mentoring program.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Mentor-Mentee Format

    Uploaded by

    Zafar
    40 views3 pages
    This document is a mentor-mentee form for a university student. It collects personal information about the student like name, family details, contact information, academic performance, and interests. It also has sections for the student and faculty mentor to provide details about advice and guidance discussed. The form is used to pair a student with a faculty mentor as part of the university's mentoring program.

    Original Title

    Mentor-Mentee_format

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    This document is a mentor-mentee form for a university student. It collects personal information about the student like name, family details, contact information, academic performance, and interests. It also has sections for the student and faculty mentor to provide details about advice and guidance discussed. The form is used to pair a student with a faculty mentor as part of the university's mentoring program.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    40 views3 pages

    Mentor-Mentee Format

    Uploaded by

    Zafar
    This document is a mentor-mentee form for a university student. It collects personal information about the student like name, family details, contact information, academic performance, and interests. It also has sections for the student and faculty mentor to provide details about advice and guidance discussed. The form is used to pair a student with a faculty mentor as part of the university's mentoring program.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    University Enrollment No.

    __________________

    MENTOR-MENTEE FORM
    Date: ___/____/______
    Affix Recently
    Passport Photo
    1. Name of Student: _______________________________________________________________

    2. Father’s Name: _________________________________________________________________

    3. Mother’s Name: ________________________________________________________________

    4. Permanent Address: _____________________________________________________________

    5. Phone No.: ______________ Mobile No.: __________________ e-mail: ___________________

    6. Caste: SC/ST/OBC/GEN :_________________________7. Blood Group: __________________

    8. Aadhar Number:____________________ 9. Bank A/C Number:_________________________

    10. Family Business/ Service: _________________________Monthly Income: _________________

    Number of Members ________

    11. If Father/Mother is not alive then name of the Guardian: ________________________________

    Relation: ________________________________ Occupation ____________________________

    12. Date of Birth: D D M M Y Y Y Y

    13. Name of Organization where student is employeed/Self Employed ________________________

    Address: ______________________________________________________________________

    14. Student’s Interest:


    a) Cultural: ________________________________________________________________

    b) Literature: _______________________________________________________________

    c) Sports: __________________________________________________________________

    Cont…..2

    1
    15. Future Planning:

    a) Business/Service: ___________________ Field: ________________________________

    b) After leaving the Institute in which area/subject you are interest for studies. ___________

    ________________________________________________________________________

    16. Result of Examination:

    Class Roll No. Marks Class Roll No. Marks

    10th IV Sem

    12th V Sem

    I Sem VI Sem

    II Sem Other

    III Sem

    17. Other: ________________________________________________________________________

    ______________________________________________________________________________

    Signature of Faculty Signature of Students

    Details of Advice / Guidance:

    1) ________________________________________________________________________

    ________________________________________________________________________

    2) ________________________________________________________________________

    ________________________________________________________________________

    3) ________________________________________________________________________

    ________________________________________________________________________

    4) ________________________________________________________________________

    ________________________________________________________________________

    Cont…..3

    2
    5) ________________________________________________________________________

    ________________________________________________________________________

    6) ________________________________________________________________________

    ________________________________________________________________________

    7) ________________________________________________________________________

    ________________________________________________________________________

    8) ________________________________________________________________________

    ________________________________________________________________________

    9) ________________________________________________________________________

    ________________________________________________________________________

    10) ________________________________________________________________________

    ________________________________________________________________________

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