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1. 1.1. UNITPOSTINGS: DEPARTMENTAL& EXTRA- DEPARTMENTALSerialNumber
Unit/section
Periodofposting(From-To)
Evaluation (each of the item is to be assessed by the unit/section head in a scale of 10
points at the end of each of the unit posting)
SignatureofUnit/sectionHead
SignatureoftheHOD
Regularityandpunctuality
Selfrelianceand
independence
Masteryoffundamental
knowledge
Cooperative/helpingnature
Emotionalstabilityand
maturity
Expressiveabilityinspeech
andwriting
Extracurricularactivities
Computerknowledge,
librarysearchandusage
Behaviortowardspatients,
colleaguesandteacher
Qualityofworkoutput
Total(outof100points)
2. 1.2. UNITPOSTINGS: DEPARTMENTAL& EXTRA- DEPARTMENTALSerialNumber
Unit/section
Periodofposting(From-To)
Evaluation (each of the item is to be assessed by the unit/section head in a scale
of 10 points at the end of each of the unit posting)
SignatureofUnit/sectionHead
SignatureoftheHOD
Regularityandpunctuality
Selfrelianceand
independence
Masteryoffundamental
knowledge
Cooperative/helpingnature
Emotionalstabilityand
maturity
Expressiveabilityinspeech
andwriting
Extracurricularactivities
Computerknowledge,
librarysearchandusage
Behaviortowardspatients,
colleaguesandteacher
Qualityofworkoutput
Total(outof100points)
3. 1.3. UNITPOSTINGS: DEPARTMENTAL& EXTRA- DEPARTMENTALSerialNumber
Unit/section
Periodofposting(From-To)
Evaluation (each of the item is to be assessed by the unit/section head in a scale of 10
points at the end of each of the unit posting)
SignatureofUnit/sectionHead
SignatureoftheHOD
Regularityandpunctuality
Selfrelianceand
independence
Masteryoffundamental
knowledge
Cooperative/helpingnature
Emotionalstabilityand
maturity
Expressiveabilityinspeech
andwriting
Extracurricularactivities
Computerknowledge,
librarysearchandusage
Behaviortowardspatients,
colleaguesandteacher
Qualityofworkoutput
Total(outof100points)
4. 1.4. UNITPOSTINGS: DEPARTMENTAL& EXTRA- DEPARTMENTALSerialNumber
Unit/section
Periodofposting(From-To)
Evaluation (each of the item is to be assessed by the unit/section head in a scale of 10
points at the end of each of the unit posting)
SignatureofUnit/sectionHead
SignatureoftheHOD
Regularityandpunctuality
Selfrelianceand
independence
Masteryoffundamental
knowledge
Cooperative/helpingnature
Emotionalstabilityand
maturity
Expressiveabilityinspeech
andwriting
Extracurricularactivities
Computerknowledge,
librarysearchandusage
Behaviortowardspatients,
colleaguesandteacher
Qualityofworkoutput
Total(outof100points)
5. 2.1. SEMINAR/ CASE PRESENTATIONS:SerialNumber
Date
Topic/Case
Coordinator
Evaluation (The five senior most faculties (F1 to F5) present ate to points out of 10 of each
item at the end of each of the seminar/ case presentation)
Signature of
the HOD/
Chairperson
Faculty’sinitial
Choiceof
article/topic/case
Completenessof
presentation
Clarityandcogencyof
presentation
Understandingofthe
subject
Referencesconsulted
Abilitytoconvey
pointsinfavorand
against
Useofaudio-visual
aids
Abilitytoanswer
questions
Timescheduling
Overallimpact
Total(outof100
points)
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
6. 2.2. SEMINAR/ CASE PRESENTATIONS:SerialNumber
Date
Topic/Case
Coordinator
Evaluation (The five senior most faculties (F1 to F5) present ate to points out of 10 of each
item at the end of each of the seminar/ case presentation)
Signature of
the HOD/
Chairperson
Faculty’sinitial
Choiceof
article/topic/case
Completenessof
presentation
Clarityandcogencyof
presentation
Understandingofthe
subject
Referencesconsulted
Abilitytoconvey
pointsinfavorand
against
Useofaudio-visual
aids
Abilitytoanswer
questions
Timescheduling
Overallimpact
Total(outof100
points)
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
7. 2.3. SEMINAR/ CASE PRESENTATIONS:SerialNumber
Date
Topic/Case
Coordinator
Evaluation (The five senior most faculties (F1 to F5) present ate to points out of 10 of each
item at the end of each of the seminar/ case presentation)
Signature of
the HOD/
Chairperson
Faculty’sinitial
Choiceof
article/topic/case
Completenessof
presentation
Clarityandcogencyof
presentation
Understandingofthe
subject
Referencesconsulted
Abilitytoconvey
pointsinfavorand
against
Useofaudio-visual
aids
Abilitytoanswer
questions
Timescheduling
Overallimpact
Total(outof100
points)
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
8. 2.4. SEMINAR/ CASE PRESENTATIONS:SerialNumber
Date
Topic/Case
Coordinator
Evaluation (The five senior most faculties (F1 to F5) present ate to points out of 10 of each
item at the end of each of the seminar/ case presentation)
Signature of
the HOD/
Chairperson
Faculty’sinitial
Choiceof
article/topic/case
Completenessof
presentation
Clarityandcogencyof
presentation
Understandingofthe
subject
Referencesconsulted
Abilitytoconvey
pointsinfavorand
against
Useofaudio-visual
aids
Abilitytoanswer
questions
Timescheduling
Overallimpact
Total(outof100
points)
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
9. 2.5. SEMINAR/ CASE PRESENTATIONS:SerialNumber
Date
Topic/Case
Coordinator
Evaluation (The five senior most faculties (F1 to F5) present ate to points out of 10 of each
item at the end of each of the seminar/ case presentation)
Signature of
the HOD/
Chairperson
Faculty’sinitial
Choiceof
article/topic/case
Completenessof
presentation
Clarityandcogencyof
presentation
Understandingofthe
subject
Referencesconsulted
Abilitytoconvey
pointsinfavorand
against
Useofaudio-visual
aids
Abilitytoanswer
questions
Timescheduling
Overallimpact
Total(outof100
points)
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
10. 2.6. SEMINAR/ CASE PRESENTATIONS:SerialNumber
Date
Topic/Case
Coordinator
Evaluation (The five senior most faculties (F1 to F5) present ate to points out of 10 of each
item at the end of each of the seminar/ case presentation)
Signature of
the HOD/
Chairperson
Faculty’sinitial
Choiceof
article/topic/case
Completenessof
presentation
Clarityandcogencyof
presentation
Understandingofthe
subject
Referencesconsulted
Abilitytoconvey
pointsinfavorand
against
Useofaudio-visual
aids
Abilitytoanswer
questions
Timescheduling
Overallimpact
Total(outof100
points)
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
11. 2.7. SEMINAR/ CASE PRESENTATIONS:SerialNumber
Date
Topic/Case
Coordinator
Evaluation (The five senior most faculties (F1 to F5) present ate to points out of 10 of each
item at the end of each of the seminar/ case presentation)
Signature of
the HOD/
Chairperson
Faculty’sinitial
Choiceof
article/topic/case
Completenessof
presentation
Clarityandcogencyof
presentation
Understandingofthe
subject
Referencesconsulted
Abilitytoconvey
pointsinfavorand
against
Useofaudio-visual
aids
Abilitytoanswer
questions
Timescheduling
Overallimpact
Total(outof100
points)
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
12. 2.8. SEMINAR/ CASE PRESENTATIONS:SerialNumber
Date
Topic/Case
Coordinator
Evaluation (The five senior most faculties (F1 to F5) present ate to points out of 10 of each
item at the end of each of the seminar/ case presentation)
Signature of
the HOD/
Chairperson
Faculty’sinitial
Choiceof
article/topic/case
Completenessof
presentation
Clarityandcogencyof
presentation
Understandingofthe
subject
Referencesconsulted
Abilitytoconvey
pointsinfavorand
against
Useofaudio-visual
aids
Abilitytoanswer
questions
Timescheduling
Overallimpact
Total(outof100
points)
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
13. 2.9. SEMINAR/ CASE PRESENTATIONS:SerialNumber
Date
Topic/Case
Coordinator
Evaluation (The five senior most faculties (F1 to F5) present ate to points out of 10 of each
item at the end of each of the seminar/ case presentation)
Signature of
the HOD/
Chairperson
Faculty’sinitial
Choiceof
article/topic/case
Completenessof
presentation
Clarityandcogencyof
presentation
Understandingofthe
subject
Referencesconsulted
Abilitytoconvey
pointsinfavorand
against
Useofaudio-visual
aids
Abilitytoanswer
questions
Timescheduling
Overallimpact
Total(outof100
points)
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
14. 2.10. SEMINAR/ CASE PRESENTATIONS:SerialNumber
Date
Topic/Case
Coordinator
Evaluation (The five senior most faculties (F1 to F5) present ate to points out of 10 of each
item at the end of each of the seminar/ case presentation)
Signature of
the HOD/
Chairperson
Faculty’sinitial
Choiceof
article/topic/case
Completenessof
presentation
Clarityandcogencyof
presentation
Understandingofthe
subject
Referencesconsulted
Abilitytoconvey
pointsinfavorand
against
Useofaudio-visual
aids
Abilitytoanswer
questions
Timescheduling
Overallimpact
Total(outof100
points)
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
15. 2.11. SEMINAR/ CASE PRESENTATIONS:SerialNumber
Date
Topic/Case
Coordinator
Evaluation (The five senior most faculties (F1 to F5) present ate to points out of 10 of each
item at the end of each of the seminar/ case presentation)
Signature of
the HOD/
Chairperson
Faculty’sinitial
Choiceof
article/topic/case
Completenessof
presentation
Clarityandcogencyof
presentation
Understandingofthe
subject
Referencesconsulted
Abilitytoconvey
pointsinfavorand
against
Useofaudio-visual
aids
Abilitytoanswer
questions
Timescheduling
Overallimpact
Total(outof100
points)
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
16. 2.12. SEMINAR/ CASE PRESENTATIONS:SerialNumber
Date
Topic/Case
Coordinator
Evaluation (The five senior most faculties (F1 to F5) present ate to points out of 10 of each
item at the end of each of the seminar/ case presentation)
Signature of
the HOD/
Chairperson
Faculty’sinitial
Choiceof
article/topic/case
Completenessof
presentation
Clarityandcogencyof
presentation
Understandingofthe
subject
Referencesconsulted
Abilitytoconvey
pointsinfavorand
against
Useofaudio-visual
aids
Abilitytoanswer
questions
Timescheduling
Overallimpact
Total(outof100
points)
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
17. 2.13. SEMINAR/ CASE PRESENTATIONS:SerialNumber
Date
Topic/Case
Coordinator
Evaluation (The five senior most faculties (F1 to F5) present ate to points out of 10 of each
item at the end of each of the seminar/ case presentation)
Signature of
the HOD/
Chairperson
Faculty’sinitial
Choiceof
article/topic/case
Completenessof
presentation
Clarityandcogencyof
presentation
Understandingofthe
subject
Referencesconsulted
Abilitytoconvey
pointsinfavorand
against
Useofaudio-visual
aids
Abilitytoanswer
questions
Timescheduling
Overallimpact
Total(outof100
points)
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
18. 2.14. SEMINAR/ CASE PRESENTATIONS:SerialNumber
Date
Topic/Case
Coordinator
Evaluation (The five senior most faculties (F1 to F5) present ate to points out of 10 of each
item at the end of each of the seminar/ case presentation)
Signature of
the HOD/
Chairperson
Faculty’sinitial
Choiceof
article/topic/case
Completenessof
presentation
Clarityandcogencyof
presentation
Understandingofthe
subject
Referencesconsulted
Abilitytoconvey
pointsinfavorand
against
Useofaudio-visual
aids
Abilitytoanswer
questions
Timescheduling
Overallimpact
Total(outof100
points)
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
19. 2.15. SEMINAR/ CASE PRESENTATIONS:SerialNumber
Date
Topic/Case
Coordinator
Evaluation (The five senior most faculties (F1 to F5) present ate to points out of 10 of each
item at the end of each of the seminar/ case presentation)
Signature of
the HOD/
Chairperson
Faculty’sinitial
Choiceof
article/topic/case
Completenessof
presentation
Clarityandcogencyof
presentation
Understandingofthe
subject
Referencesconsulted
Abilitytoconvey
pointsinfavorand
against
Useofaudio-visual
aids
Abilitytoanswer
questions
Timescheduling
Overallimpact
Total(outof100
points)
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
F1-
F2-
F3
F4-
F5-
Total
20. 3. A.1. SKILLS LEARNT: PERFORMED AS ASSISTANT TO OTHERS:
Sl. No. Date Skill Description (With patient reference) Signature of the skill
demonstrator
Signature of HOD
21. 3. A. 2. SKILLS LEARNT: PERFORMED AS ASSISTANT TO OTHERS:
Sl. No. Date Skill Description (With patient reference) Signature of the skill
demonstrator
Signature of HOD
22. 3. A. 3. SKILLS LEARNT: PERFORMED AS ASSISTANT TO OTHERS:
Sl. No. Date Skill Description (With patient reference) Signature of the skill
demonstrator
Signature of HOD
23. 3. A. 4. SKILLS LEARNT: PERFORMED AS ASSISTANT TO OTHERS:
Sl. No. Date Skill Description (With patient reference) Signature of the skill
demonstrator
Signature of HOD
24. 3. A. 5. SKILLS LEARNT: PERFORMED AS ASSISTANT TO OTHERS:
Sl. No. Date Skill Description (With patient reference) Signature of the skill
demonstrator
Signature of HOD
25. 3. A. 6. SKILLS LEARNT: PERFORMED AS ASSISTANT TO OTHERS:
Sl. No. Date Skill Description (With patient reference) Signature of the skill
demonstrator
Signature of HOD
26. 3. B. 1. SKILLS LEARNT: PERFORMED UNDER SUPERVISION:
Sl. No. Date Skill Description (With patient reference) Signature of
Supervising Teacher
Signature of HOD
27. 3. B. 2. SKILLS LEARNT: PERFORMED UNDER SUPERVISION:
Sl. No. Date Skill Description (With patient reference) Signature of
Supervising Teacher
Signature of HOD
28. 3. B. 3. SKILLS LEARNT: PERFORMED UNDER SUPERVISION:
Sl. No. Date Skill Description (With patient reference) Signature of
Supervising Teacher
Signature of HOD
29. 3. B. 4. SKILLS LEARNT: PERFORMED UNDER SUPERVISION:
Sl. No. Date Skill Description (With patient reference) Signature of
Supervising Teacher
Signature of HOD
30. 3. B. 5. SKILLS LEARNT: PERFORMED UNDER SUPERVISION:
Sl. No. Date Skill Description (With patient reference) Signature of
Supervising Teacher
Signature of HOD
31. 3. B. 6. SKILLS LEARNT: PERFORMED UNDER SUPERVISION:
Sl. No. Date Skill Description (With patient reference) Signature of
Supervising Teacher
Signature of HOD
32. 3. C. 1. SKILLS LEARNT: PERFORMED INDEPENDENTLY:
Sl. No. Date Skill Description (With patient reference) Signature of Unit Head Signature of HOD
33. 3. C. 2. SKILLS LEARNT: PERFORMED INDEPENDENTLY:
Sl. No. Date Skill Description (With patient reference) Signature of Unit Head Signature of HOD
34. 3. C. 3. SKILLS LEARNT: PERFORMED INDEPENDENTLY:
Sl. No. Date Skill Description (With patient reference) Signature of Unit Head Signature of HOD
35. 3. C. 4. SKILLS LEARNT: PERFORMED INDEPENDENTLY:
Sl. No. Date Skill Description (With patient reference) Signature of Unit Head Signature of HOD
36. 3. C. 5. SKILLS LEARNT: PERFORMED INDEPENDENTLY:
Sl. No. Date Skill Description (With patient reference) Signature of Unit Head Signature of HOD
37. 3. C. 6. SKILLS LEARNT: PERFORMED INDEPENDENTLY:
Sl. No. Date Skill Description (With patient reference) Signature of Unit Head Signature of HOD
38. 4. 1. PEDAGOGIC SKILL:
(Details of theory, Practical, Clinical demonstration classes taken by the student are to be entered here as and when taken)
Sl. No. Date Target audience
& strength
Type of class Topic Signature of
Faculty/ HOD
39. 4. 2. PEDAGOGIC SKILL:
(Details of theory, Practical, Clinical demonstration classes taken by the student are to be entered here as and when taken)
Sl. No. Date Target audience
& strength
Type of class Topic Signature of
Faculty/ HOD
40. 4. 3. PEDAGOGIC SKILL:
(Details of theory, Practical, Clinical demonstration classes taken by the student are to be entered here as and when taken)
Sl. No. Date Target audience
& strength
Type of class Topic Signature of
Faculty/ HOD
41. 4. 4. PEDAGOGIC SKILL:
(Details of theory, Practical, Clinical demonstration classes taken by the student are to be entered here as and when taken)
Sl. No. Date Target audience
& strength
Type of class Topic Signature of
Faculty/ HOD
42. 4. 5. PEDAGOGIC SKILL:
(Details of theory, Practical, Clinical demonstration classes taken by the student are to be entered here as and when taken)
Sl. No. Date Target audience
& strength
Type of class Topic Signature of
Faculty/ HOD
43. 4. 6. PEDAGOGIC SKILL:
(Details of theory, Practical, Clinical demonstration classes taken by the student are to be entered here as and when taken)
Sl. No. Date Target audience
& strength
Type of class Topic Signature of
Faculty/ HOD
44. 4. 7. PEDAGOGIC SKILL:
(Details of theory, Practical, Clinical demonstration classes taken by the student are to be entered here as and when taken)
Sl. No. Date Target audience
& strength
Type of class Topic Signature of
Faculty/ HOD
45. 4. 8. PEDAGOGIC SKILL:
(Details of theory, Practical, Clinical demonstration classes taken by the student are to be entered here as and when taken)
Sl. No. Date Target audience
& strength
Type of class Topic Signature of
Faculty/ HOD
46. 4. 9. PEDAGOGIC SKILL:
(Details of theory, Practical, Clinical demonstration classes taken by the student are to be entered here as and when taken)
Sl. No. Date Target audience
& strength
Type of class Topic Signature of
Faculty/ HOD
47. 4. 10. PEDAGOGIC SKILL:
(Details of theory, Practical, Clinical demonstration classes taken by the student are to be entered here as and when taken)
Sl. No. Date Target audience
& strength
Type of class Topic Signature of
Faculty/ HOD
49. 5.1. THESIS / DISSERTATION:Sl.No.
Date
Progress
Evaluation of Thesis work (The five senior most faculties present are to assign
points out of 10 on each item each time the thesis is presented before the
department at different stages of the research project)
Signatureoftheteacherincluding
theGuide
SignatureoftheHOD/Chair
Appropriatenessofliterature
review
Discussionwithguide
Discussionwithotherteachers
Collectionofmaterial/sample
Departmentalpresentation
Defenseinviva
Recordkeeping
Depthofanalysisand
discussion
Sincerityanddevotion
Overalloutput
Total(outof100points
Synopsis
presentationand
Departmental review
(at the time of
synopsissubmission)
F1
F2
F3
F4
F5
Total
Progress-I
Presentationand
review
(at 6 months ofthe
study)
F1
F2
F3
F4
F5
Total
50. 5. 2. THESIS / DISSERTATION:Sl.No.
Date
Progress
Evaluation of Thesis work (The five senior most faculties present are to assign
points out of 10 on each item each time the thesis is presented before the
department at different stages of the research project)
Signatureoftheteacherincluding
theGuide
SignatureoftheHOD/Chair
Appropriatenessofliterature
review
Discussionwithguide
Discussionwithotherteachers
Collectionofmaterial/sample
Departmentalpresentation
Defenseinviva
Recordkeeping
Depthofanalysisand
discussion
Sincerityanddevotion
Overalloutput
Total(outof100points
Progress-II
presentationand
review
(at 12 monthsof the
study)
F1
F2
F3
F4
F5
Total
Progress-III
Presentationand
review
(at 18 monthsof the
study)
F1
F2
F3
F4
F5
Total
51. 5. 3. THESIS / DISSERTATION:Sl.No.
Date
Progress
Evaluation of Thesis work (The five senior most faculties present are to assign
points out of 10 on each item each time the thesis is presented before the
department at different stages of the research project)
Signatureoftheteacherincluding
theGuide
SignatureoftheHOD/Chair
Appropriatenessofliterature
review
Discussionwithguide
Discussionwithotherteachers
Collectionofmaterial/sample
Departmentalpresentation
Defenseinviva
Recordkeeping
Depthofanalysisand
discussion
Sincerityanddevotion
Overalloutput
Total(outof100points
Thesis
presentationand
review
(at 24 monthsof the
study)
F1
F2
F3
F4
F5
Total
Submission
(beforesubmissionat
30 monthsofthe
study)
F1
F2
F3
F4
F5
Total
52. 6. 1. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
53. 6. 2. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
54. 6. 3. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
55. 6. 4. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
56. 6. 5. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
57. 6. 6. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
58. 6. 7. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
59. 6. 8. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
60. 6. 9. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
61. 6. 10. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
62. 7. 1. PAPER PRESENTATION:
Sl. No. Date Venue Co-author Topic Signature of HOD
63. 7. 2. PAPER PRESENTATION:
Sl. No. Date Venue Co-author Topic Signature of HOD
66. 9. 1. WORKSHOP/ CONFERENCE/ TRAINING ATTENDED:
Sl. No. Date Event Venue Brief Experience Signature of HOD
67. 9. 2. WORKSHOP/ CONFERENCE/ TRAINING ATTENDED:
Sl. No. Date Event Venue Brief Experience Signature of HOD
68. 9. 3. WORKSHOP/ CONFERENCE/ TRAINING ATTENDED:
Sl. No. Date Event Venue Brief Experience Signature of HOD
69. 9. 4. WORKSHOP/ CONFERENCE/ TRAINING ATTENDED:
Sl. No. Date Event Venue Brief Experience Signature of HOD
70. 10. INTERNAL ASSESSMENT:Timing/‘term’ofevaluation
Date
Log Book evaluation (out of 100 each term)
(the log book is to be presented at the time of the six monthly internal
assessment by the department for evaluation by the HOD on a scale of 10
for the following points)
Theoryevaluation
(outof100each)
VivaVoceevaluation
(outof50eachteam)
Practical/Clinicalevaluation
(outof50eachteam)
GRANDTOTAL(outof300)
SignatureofHOD
Attitudinaltraits(based
onend-initposting)
Seminar/case
presentation
Skillslearned
Pedagogicskills
Thesiswork
Classesattended
Paperpresentation
Publications
Workshops/conferences/
trainingattended
Overallimpression
Total(100points)
71. 11.1. LEAVE AVAILED:
Sl. No. Dates No. of days Type of leave Signature of Unit
Head
Signature of HOD
72. 11.2. LEAVE AVAILED:
Sl. No. Dates No. of days Type of leave Signature of Unit
Head
Signature of HOD
73. 11.3. LEAVE AVAILED:
Sl. No. Dates No. of days Type of leave Signature of Unit
Head
Signature of HOD
74. 11.4. LEAVE AVAILED:
Sl. No. Dates No. of days Type of leave Signature of Unit
Head
Signature of HOD
75. 11.5. LEAVE AVAILED:
Sl. No. Dates No. of days Type of leave Signature of Unit
Head
Signature of HOD
76. 12. FINAL EVALUATION:
(The log book is to presented by the examinee to the examinerspanelat the time of the Final Degree Examination for
appropriate entries and countersignatures)
Examiner Name &
Designation
Comments
(the chosen box is to be ticked)
Initial of the
examiner with
date
Poor average good very good excellent
External
examiner-1
External
examiner-2
Internal
examiner-1
Internal
examiner-2