Acknowledgement

My Reason for Joining Extension Work

Activity

Signature of Representative of DLLE

Details of Activity attended by the student performed at College
or Community Level:

Sr. Name Yes/No Date Place/Location Topic/Subject Participated No. of

No. of the as Participants
Activity
 Consolidated Hours Table
Sr. Topic Activity Hours Descriptio
No. n
1. First Term Discussion 5 hrs Described
Training about
Programme Concepts
2 Festival Poster 20 hrs Had a
Making activity like
Poster
Making &
Street Play
3 Second Term Discussion 5 hrs Proper
Training detailed
Programme explanation
about the
project
4 Survey Survey of 80 hrs Had survey
Women in the
society
5 Project Report Preparing 10 hrs By
Report analyzing
all the
points we
conclude
the project.
TOTAL 120 hrs
 Details of the Activity

Name of the College:

Name of the Activity:

Participated in the Activity:

Location of the Project Done:

Date:
 Had you enrolled for extension activities in the
past?

 What were your expectations about extension

activity ?
(1 Page)
 Are your expectations fulfilled ?
(1 Paragraph)

 Problems you faced any:

(As per your Project/survey)

 Did you liked the extension activities? Mention

Why?
(1 Page Max)
 Are you satisfied with the overall extension
activity?
(1 Para)
 In which mode will you participate in extension
activity if opportunity is given again online/offline?
Mention why?
(1 Page)

 How did you carry out this activity?

( Min 5 Page & Max 10 Page)
 What do you learn by extension activities?
(1 Para)

 How will Extension Work help you to contribute to

the Society?
(As per you want)
 What do you say about improving extension work?
(As per you want)

Regards & Feedback for Extension Work

with Suggestion
 Signature of the Extension Field Co-
ordinator
Teacher

Signature of Principal & College with Seal

Critical Analysis

SWS – Your 25 Questions Survey Conclusion

PEC – As per how did you conducted all your activities, proper
dates with time
APY - As per how did you conducted all your activities, proper
dates with time
CP – As per how did you had your survey for the carrier and all
stuffs
 Conclusion

Only for SWS