Name of the Department:

Name of the faculty/Designation:

Year/Section:
Reg. No Name of the No of If failed, No of If failed, Reason Action plan Action plan No.of subjects Plan for Non
Student subjects Name of the subjects Name of for for SE-III for End sem planned for CGPA
passed in Subjects/Code passed in the failure (if summer term Activity
SE-I/If all SE-II Subjects/C the
pass put ode subject is
- name)

Faculty Adviser HoD