Z. A. Islamia College, Siwan, Bihar Alumni Feedback Form
Alumni Name		Father's Name
Date of Birth		Blood Group
Batch Passout Year		Course Name
Contact No		Mobile No
Permanent Address		E-Mail ID
Present Organization Name & Address		Designation

Dear Alumni For each item please indicate your level of agreement with the following statement by choosing a []Score between 1 and 5. A Higher score indicates a stronger agreement with the statement.
S No	Details	1	2	3	4	5
1	Admission Procedure
2	Fee structure
3	Environment
4	Infrastructure & Lab facilities
5	Faculty
6	Project Guidance
7	Quality of support material
8	Training & Placement
9	Library
10	Canteen Facilities
11	Hostel Facilities
12	Alumni Association/ Network of Old Friends
13	Computer Facilities
14	Internet & Wi-Fi
15	Seminars & Workshop
16	Overall Rating of the College
17	If any suggestions/opinion for further improvement