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Feedback Form

CHED form for feedback

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: FEEDBACK FORM
(Pananaw o Puna)

Please let us know how we have served you. You may use this form for compliments, complaints or suggestions.
(Ipaalam po ninyo sa amin kung paano naming kayo napaglingkuran. Maaaring gamitin ito para sa papuri, reklamo o mungkahi).

Simply check the corresponding box.
(Mangyaring I –check lamang ang kahong naaayon).

Compliment
(Papuri)

Complaint

Suggestion

(Reklamo)

(Mungkahi)

Person(s)/Unit(s)/Office(s) Concerned or Involved: ___________________________________________
((Mga) tao, pangkat, tanggapan na may kinalaman sa papauri, reklamo o mungkahi)

Facts or Details About the Incident
(Kaganapan o detalye tungkol sa pangyayari)

You may use the back page for additional information
(Maaaring gamitin ang likuran ng papel para sa karagdagang impormasyon)

Recommendation/Suggestion/Desired Action form our Office
(Rekomendasyon/ Mungkahi/ Nais na aksyon mula sa aming tanggapan)

You may use the back page for additional information
(Maaaring gamitin ang likuran ng papel para sa karagdagang impormasyon)

Date:________________
(Petsa)

Name (Optional): __________________________________________________________________
(Pangalan)

Address:_________________________________________________________________________
(Tirahan)

Contact Number(s) (if any): _________________________________________________________
((Mga)Telepono) (Kung meron)

E-Mail Address: _________________________

Signature (Optional):________________________
(Lagda)

Commission on Higher Education
Higher Education Development Center Building, C.P Garcia Ave., UP Campus, Diliman, Quezon City
Web site: www.ched.gov.ph Tel. Nos.441-1177, 441-1169, 441-1149, 441-1170
 
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