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School of Foundation Studies

Mentor-Mentee Report Form

Mentor-Mentee system is for the purpose to improve our student’s result and
learning quality, lecturer has responsibility to fill up this form as a report of mentor.
Hence, the best solution can be taken by our school according to this report.

A) Information of Mentor

Name : _______________________________________________

Faculty/ Department : _______________________________________________

Subject of Mentoring : _______________________________________________

Period of Mentoring : _______________________________________________

B) Information of Mentee

Name : _______________________________________________

Programme/ Course : _______________________________________________

Batch : _______________________________________________

Student ID : _______________________________________________

Failed Subject(s) : _______________________________________________

_______________________________________________

Result(s) of Failed
Subject(s) : _______________________________________________

Latest CGPA Result : _______________________________________________

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C) Report by Mentor

1. Comment on learning attitude towards mentee:

______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________

2. Comment on academic performances towards mentee:

______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________

3. Overall results in latest academic performances towards mentee:


(Please Tick √ in the below column)

Excellent Satisfied Average Poor

Quiz

Tutorial

Assignment

Test

Final Examination

Others ________________

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4. Other comment/ suggestion :

______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________

Signature of Mentor: Date:

________________________ ____________________

D) Report by Head of Department:

___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

Signature of Head of Department: Date:

__________________________ _____________________

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