ALUMNI FEEDBACK FORM


Alumni Name *
Date of Birth (DD/MM/YYYY) *
Year of Passing out Diploma
Higher Education details	College Name	University Name	Year of Passing
Graduation
Post-graduation
Ph.D.
Other
Permanent Address
Present Address
Contact Number with STD code
E-Mail ID *
Whether employed/Self-employed	EmployedSelf-employed
Present Organization name & Address
Present Designation


Please select the appropriate column.

2.	Admission Procedure of institute	ExcellentVery GoodGoodSatisfactoryPoor
2.	Environment	ExcellentVery GoodGoodSatisfactoryPoor
3.	Faculty (Teaching)	ExcellentVery GoodGoodSatisfactoryPoor
4.	Staff (Non- Teaching)	ExcellentVery GoodGoodSatisfactoryPoor
5.	Co-Curricular activities	ExcellentVery GoodGoodSatisfactoryPoor
6.	Infrastructure & Lab facilities	ExcellentVery GoodGoodSatisfactoryPoor
7.	Library Facilities	ExcellentVery GoodGoodSatisfactoryPoor
8.	Canteen Facilities	ExcellentVery GoodGoodSatisfactoryPoor
9.	Hostel Facilities	ExcellentVery GoodGoodSatisfactoryPoor
10.	Training & Placement	ExcellentVery GoodGoodSatisfactoryPoor
11.	Overall Rating of the Institute	ExcellentVery GoodGoodSatisfactoryPoor
12.	Alumni Association

A	Do you feel proud to be associated with M.C.E. Society’s Institute of Pharmacy (Diploma) as Alumni?
B	Are you willing to contribute to the development of the Institute?
C	Do you receive communications from the Institute through Mails/ Calls/SMS etc?
D	In which way you would like to contribute to the Institute. (By taking guest lectures / By arranging Industrial & hospital visits / Placement / Training / sponsorship for events etc……. or any other contribution)
Your Suggestions: