ENGINEERING COLLEGE

ALUMNI FEEDBACK FORM

1. DEPARTMENT : ______________________ Date:

2. COURSE : ______________________ 3. BATCH: ______________________

Alumni Career Information: (Please , Where Ever Applicable)

1. Name of the Alumnus : _____________________________________

2. Mobile Number : _____________________________________

3. Email id : _____________________________________

4. Gender : Male Female

5. Date of Birth : _____________________________________

6. Occupation : a. Entrepreneur b. Employee

7. Name of the Organization : _____________________________________

8. Designation ; _____________________________________

9. Job Domain : _____________________________________

10. Location : _____________________________________

11. Years of Experience: (a) Less than 3 years (b) 4- 6 Years

(c) 7-9 Years (d.)10 Years & above

12. Are you interested in providing the following to our College:

Sl.No. Details Yes No

1 Guest Lectures
2 Project work
3 Placement
4 Consultancy
5 Video Conferencing
6 MOU
7 R&D projects
8 Industrial visit
Any Other, Please Specify________________________________

THANKYOU FOR YOUR VALUABLE TIME AND EFFORT