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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)
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)
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)
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)
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
3. B. 1. SKILLS LEARNT: PERFORMED UNDER SUPERVISION:
Sl. No. Date Skill Description (With patient reference) Signature of
Supervising Teacher
Signature of HOD
3. B. 2. SKILLS LEARNT: PERFORMED UNDER SUPERVISION:
Sl. No. Date Skill Description (With patient reference) Signature of
Supervising Teacher
Signature of HOD
3. B. 3. SKILLS LEARNT: PERFORMED UNDER SUPERVISION:
Sl. No. Date Skill Description (With patient reference) Signature of
Supervising Teacher
Signature of HOD
3. B. 4. SKILLS LEARNT: PERFORMED UNDER SUPERVISION:
Sl. No. Date Skill Description (With patient reference) Signature of
Supervising Teacher
Signature of HOD
3. B. 5. SKILLS LEARNT: PERFORMED UNDER SUPERVISION:
Sl. No. Date Skill Description (With patient reference) Signature of
Supervising Teacher
Signature of HOD
3. B. 6. SKILLS LEARNT: PERFORMED UNDER SUPERVISION:
Sl. No. Date Skill Description (With patient reference) Signature of
Supervising Teacher
Signature of HOD
3. C. 1. SKILLS LEARNT: PERFORMED INDEPENDENTLY:
Sl. No. Date Skill Description (With patient reference) Signature of Unit Head Signature of HOD
3. C. 2. SKILLS LEARNT: PERFORMED INDEPENDENTLY:
Sl. No. Date Skill Description (With patient reference) Signature of Unit Head Signature of HOD
3. C. 3. SKILLS LEARNT: PERFORMED INDEPENDENTLY:
Sl. No. Date Skill Description (With patient reference) Signature of Unit Head Signature of HOD
3. C. 4. SKILLS LEARNT: PERFORMED INDEPENDENTLY:
Sl. No. Date Skill Description (With patient reference) Signature of Unit Head Signature of HOD
3. C. 5. SKILLS LEARNT: PERFORMED INDEPENDENTLY:
Sl. No. Date Skill Description (With patient reference) Signature of Unit Head Signature of HOD
3. C. 6. SKILLS LEARNT: PERFORMED INDEPENDENTLY:
Sl. No. Date Skill Description (With patient reference) Signature of Unit Head Signature of HOD
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
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
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
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
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
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
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
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
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
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
5. THESIS/ DISSERTATION:
Topic:
Guide:
Co-Guide:
Date of Ethics Committee approval:
Date of submission of synopsis:
Date of submission of thesis:
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
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
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
6. 1. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
6. 2. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
6. 3. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
6. 4. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
6. 5. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
6. 6. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
6. 7. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
6. 8. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
6. 9. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
6. 10. CLASSES / LECTURE ATTENDED:
Sl. No. Date Type of class Topic Signature of Teacher
7. 1. PAPER PRESENTATION:
Sl. No. Date Venue Co-author Topic Signature of HOD
7. 2. PAPER PRESENTATION:
Sl. No. Date Venue Co-author Topic Signature of HOD
8. 1. PUBLICATION:
Sl. No. Type Title Authors Journal issue Signature of HOD
8. 2. PUBLICATION:
Sl. No. Type Title Authors Journal issue Signature of HOD
9. 1. WORKSHOP/ CONFERENCE/ TRAINING ATTENDED:
Sl. No. Date Event Venue Brief Experience Signature of HOD
9. 2. WORKSHOP/ CONFERENCE/ TRAINING ATTENDED:
Sl. No. Date Event Venue Brief Experience Signature of HOD
9. 3. WORKSHOP/ CONFERENCE/ TRAINING ATTENDED:
Sl. No. Date Event Venue Brief Experience Signature of HOD
9. 4. WORKSHOP/ CONFERENCE/ TRAINING ATTENDED:
Sl. No. Date Event Venue Brief Experience Signature of HOD
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)
11.1. LEAVE AVAILED:
Sl. No. Dates No. of days Type of leave Signature of Unit
Head
Signature of HOD
11.2. LEAVE AVAILED:
Sl. No. Dates No. of days Type of leave Signature of Unit
Head
Signature of HOD
11.3. LEAVE AVAILED:
Sl. No. Dates No. of days Type of leave Signature of Unit
Head
Signature of HOD
11.4. LEAVE AVAILED:
Sl. No. Dates No. of days Type of leave Signature of Unit
Head
Signature of HOD
11.5. LEAVE AVAILED:
Sl. No. Dates No. of days Type of leave Signature of Unit
Head
Signature of HOD
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

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Log book

  • 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
  • 48. 5. THESIS/ DISSERTATION: Topic: Guide: Co-Guide: Date of Ethics Committee approval: Date of submission of synopsis: Date of submission of thesis:
  • 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
  • 64. 8. 1. PUBLICATION: Sl. No. Type Title Authors Journal issue Signature of HOD
  • 65. 8. 2. PUBLICATION: Sl. No. Type Title Authors Journal issue 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