8/8/2016

ConvocationForm

Uka Tarsadia University, Bardoli

Imparting Knowledge. Awakening Wisdom. Transforming Lives.

2016030050087

APPLICATIONFORANNUALCONVOCATION
To,
TheRegistrar
UkaTarsadiaUniversity,
Tarsadi,Bardoli394350
Sir,
IhearbyapplyforDegreeoftheUniversityattheensuringconvoca ontobeheldon14October2016inPerson.
PERSONALDETAILS
Name:BunhaAbhishekVihalbhai
PostalAddress:E/601LaxmiResidency,
NearGajeraSchool,
O/p:UmaResidency,
Katargam,
Surat
PostalCode:395004
MobileNo.:9898121250
NameofDegree:BachelorofTechnology(MechanicalEngineering)
FacultyName:EngineeringandTechnology
PassingYear&Month:Summer2016
ClassObtained:First
NameofCollage/UniversityDepartment:
ChhotubhaiGopalbhaiPatelIns tuteofTechnology

Gender:Male

CGPA:7.11

Instruc onstoCandidate
1.Theprescribedconvoca onfeesRs.1500/shouldbepaidincashorbydemanddrainfavourof"UkaTarsadiaUniversity",

payableatBardoli.Pleasewriteyournameandenrollmentno.atthebackofthedemanddra.
2.Feesoncepaidcannotberefundedorheldinreserveforafutureconvoca on.
3.Theconvoca onfeereceiptshouldbepreservedcarefullyandproducedatthe meofcollec onofthedegree/diploma

cer cateonthedayoftheconvoca on,orasandwhenthesameiscollected.

4.IncompleteFormwillnotbeaccepted.
5.Candidates who intend to receive more than one degree at the same Convoca on should send a separate prescribed

applica onformforeachdegree,withrequiredfees.
6.The degree cer cates will be sent to them in due course at the address given by them in their applica on by post.

ComplaintregardingnonreceiptofDegreecer catewillbeentertainedwithintwomonthsfromthedateofconvoca on,

thereaernocomplaintwillbeentertained.
7.Candidates applying for admission to the degree of Bachelor of Physiotherapy, B. Pharm. Or Nursing are requested to
aachedzeroxcopyoftheTraining/Housemanship/Internshipcer cate,asthecasemaybeortheyshouldmen onNo.
anddateofsuchcer cates,asthecasemaybe,failingwhichtheywillnotbeadmiedtotheDegreeattheConvoca on.
8.Youarerequestedtowearscarf/gownforconvoca onceremony.Youcancollectitfromuniversityrecep onoce.

Declara onByCandidate
Ihavecarefullyread&notedtheinstruc onstothecandidatebeforellinginthisform.Ideclarethattheinforma ongivenabove
is true and correct to the best of my knowledge and belief. I undertake that I shall be responsible for any omission / errors /
incompleteentriesmadebymeinthisform.

Date:

Place:

ReceiptNo.:

Amount:

FormCheckedBy:

http://app.utu.ac.in/UTUFormAccess/Print.aspx

SignatureofCandidate
FOROFFICEUSEONLY
EnrollmentNo:201203100510110
Date:

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ConvocationForm

StudentsFeedbackForm

Name:BunhaAbhishekVihalbhai
NameofDegree:BachelorofTechnology(MechanicalEngineering)
FacultyName:EngineeringandTechnology
Note:KindlyAdjudicatetheThesisundergivenheadsandgradethenonthescaleof5.Pleaseanswerall30ques ons.
Grade

Interpreta on

Excellentand
stronglyagree

VeryGood

Good

Sa sfactory

Notsa sfactoryand
notagree

Criteria1:Detailsofcourses/subjectsstudied
No.

SubCriteria

Grade

1.1

FulllmentofObjec vesofcourses

1.2

FundamentalsCoverageofcourses

1.3

DepthofCourseCoverage

1.4

RelevanceofSubjectswithPrac cal/LabWork

1.5

SyllabusissuitabletotheProgram

1.6

Thecourse/syllabushasgoodbalancebetweentheoryandapplica on.

1.7

Coursecontentisfollowedbycorrespondingreferencematerialsasmen onedinsyllabusofcourse

1.8

SucientnumberofprescribedbooksareavailableintheLibrary
SubTotalcriteria1:

Criteria2:TeachersCourseCommandTeachingMethodology/Pedagogy
2.1

SelfCondenceinteachingsubject

2.2

Deliveryofsubjectcontentintheclass/Abilitytopresentthesubjectclearly

2.3

Skilloflinkingsubjecttoreallifeexperience/situa on

2.4

Skilloflinkingsubjecttoothersubjectofyourprogram

2.5

Abilitytocreateinterestinthesubject

2.6

Theteachercompletesthesyllabus

2.7

Keeplaboratoryreadyforexperimenta on

2.8

UseofModernTeachingtools/ICTintheclass

2.9

Referstothelatestdevelopmentinthesubjectandencouragesforcareerdevelopment

2.10

Theteacherencouragespar cipa onanddiscussioninclass.

2.11

Regularand melyfeedbackisgivenonourperformance.

2.12

Periodicalinternalassessmentsareconductedasperschedule.
SubTotalcriteria2:

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StudentEvalua onoftheDepartment/inst
No.

Criteria

3.1

ClassRoomFacili es

3.2

LibraryFacili es

3.3

LaboratoryFacili es

3.4

CleanlinessoftheDepartment/Inst

3.5

Availabilityofadministra veassistance

3.6

Thecampusisgreenandecofriendly;pollu onfree

3.7

Thecampushasadequatepowersupply

3.8

Internetservices

3.9

Transporta onservices

3.10

Parkingfacili es

Grade

SubTotalcriteria3:
Youropinion/sugges onforimprovementincriteriaI,IIandIII

Signature
Date:

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