Feedback Form
This form is to be used to submit a formal feedback directly to the dean of School of Industrial Technology, Universiti Sains Malaysia.
Category
*
Student
Staff
Guest
Name (Optional)
Feedbacks may be submitted anonymously; however, unless you include your name and contact information, we will be unable to respond back to you regarding the subject matter
Contacts (Optional)
(Email/Mobile number)
Division (for student and staff only)
(Admin/Bioprocess/Bioresource/Environmental/Food)
Year (for student only)
(1st/2nd/3rd/4th)
Date of Submission
*
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Month
-
Day
Year
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Describe accurately the details of your complaint and against whom.
Describe accurately the details of your compliment.
General comments which you would like to share with us.
RETALIATION AGAINST A GUEST/STUDENT/STAFF FOR GIVING FEEDBACK (ESPECIALLY COMPLAINT) IS PROHIBITED, AND WILL BE CONSIDERED A SERIOUS VIOLATION OF PROFESSIONAL RESPONSIBILITY.
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