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Name of Student:
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Current AY:
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Current Class:
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Section - A (Analysis)
1
5
Rate the ability of to understand new topic (Without any help)? i.e. ability to understand
through self study.
1 Excellent
2 Good
3 Average
4 Cant understand
6
Rate your ability to solve new problems (after a new chapter is taught in class)
1 Excellent
2 Good
3 Average
4 Cant solve
7
When a new problem is given to you & assuming that you were not able to solve it in first
attempt? Then what will you do
1 Try to solve it by attempting again & again
2 Try to get solution from a friend
3 Try to get solution from a senior (including parents)
4 Try to get solution from teacher
5 Leave it forever
10
11
During regular days, how many hours do you devote for below exercise
1 Homework:
2 Revision of concepts taught in class:
3 Preparation of upcoming Unit tests or quizzes:
12
After how many Hrs of study do you need break to refresh yourself and concentrate again.
13
14
15
16
17
Who helps you at home when you are stuck with studies ?
1 Father
2 Mother
3 Brother
4 Sister
5 Grand parents
6 Others
18
19
time
20
21
If
1
2
3
4
22
If
1
2
3
23
24
If
1
2
3
25
Section B (On the basis of your strength and weakness, what goal do you set for
yourself).
Clas
s
Goal
JAO
10
10
10
10
11
11
Students
Aspiration
Admission
Test
Benchmark
State Level
National Level
For International Level
International Bronze Medal
International Silver Medal
International Gold Medal
State Level
National Level
For International Level
International Bronze Medal
International Silver Medal
International Gold Medal
State Level
National Level
For International Level
International Bronze Medal
International Silver Medal
International Gold Medal
State Level
National Level
For International Level
International Bronze Medal
International Silver Medal
International Gold Medal
Stage 1
Fellowship
Mentorship
JSO
JSTSE
BOARD EXAMINATIONS
Greater than 98%
Between 90% to 98%
Between 80% to 90%
Between 75% to 80%
JAO
JSO
NTSE
KVPY
OLYMPIADS-Astronomy
State Level
National Level
For International Level
11
11
11
12
OLYMPIADS-Chemistry
State Level
National Level
For International Level
International Bronze Medal
International Silver Medal
International Gold Medal
OLYMPIADS-Physics
State Level
National Level
For International Level
International Bronze Medal
International Silver Medal
International Gold Medal
OLYMPIADS-Mathematics
State Level
National Level
For International Level
International Bronze Medal
International Silver Medal
International Gold Medal
OLYMPIADS-Astronomy
State Level
National Level
For International Level
International Bronze Medal
International Silver Medal
International Gold Medal
OLYMPIADS-Chemistry
State Level
National Level
For International Level
International Bronze Medal
International Silver Medal
International Gold Medal
OLYMPIADS-Physics
State Level
National Level
For International Level
International Bronze Medal
International Silver Medal
International Gold Medal
KVPY
Stage 1
Fellowship
Mentorship
12
12
12
12
OLYMPIADS-Mathematics
State Level
National Level
For International Level
International Bronze Medal
International Silver Medal
International Gold Medal
12
12
12
BOARD EXAMINATIONS
Greater than 98%
Between 90% to 98%
Between 80% to 90%
Between 75% to 80%
IIT-JEE Advanced
Topper
Top 10
Top 200
Top 2000
Selection at any rank
IIT-JEE Mains
Topper
Top 10
Top 200
Top 2000
Top 10000
Top 30000
Top 150000
(Signature of Student)
Signature of the