CAPE INSTITUTE OF TECHNOLOGY LEVINGIPURAM

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CAPE INSTITUTE OF TECHNOLOGY LEVINGIPURAM

STUDENTS FEEDBACK FORM

Dear Students, Here is an opportunity for you to contribute your bit in developing this institution in the form of your valuable inputs.Students are requested to respond to all the questions.

* Indicates required question

Email *

Record my email address with my response

1.STUDENT NAME *

Your answer

2.DEPARTMENT *

CSE

CIVIL

ECE

EEE

IT

MECHANICAL

Required

3.YEAR *

I

II

III

IV

4.REGISTER NUMBER *

Your answer

5.GENDER *

FEMALE

MALE

6.DATE OF BIRTH *

MM

/

DD

/

YYYY

7.EMAIL ID *

Your answer

8.MOBILE NUMBER *

Your answer

9.COMMUNICATION ADDRESS *

Your answer

10.FEEDBACK ABOUT YOUR DEPARTMENT AND INSTITUTION *

Your answer

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